CANDICE TATE (NPI# 1346623493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346623493 |
| Entity Type | Individual |
| Full Name | CANDICE TATE |
| Other Name | CANDICE FAYE SPELL |
| Credential | NP-C |
| Practice Address |
1600 Forsyth St Macon GA 31201-1408 |
| Practice Telephone | 4787431000 |
| Mailing Telephone | 4787431000 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN187247 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396912655 | Candice Marie Tate | Psychologist | 510 S 23rd Ave, Bozeman, MT 59718-3963 | 2008-05-14 |
| 1063474013 | Candice Tate | Psychiatry & Neurology | 400 Galleria Pkwy Se, Suite 1500, Atlanta, GA 30339-5980 | 2006-04-05 |
| 1962063636 | Candice Nicole Tate | Behavioral Analyst | 44617 S Airport Rd, Hammond, LA 70403-0311 | 2019-06-24 |
| Street Address |
1600 FORSYTH ST |
| City | MACON |
| State | GA |
| Zip Code | 31201-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477512903 | Pam Thomasson | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2006-03-22 |
| 1720532286 | Macon Orthopaedic & Hand Center Pa | Orthopaedic Surgery | 1600 Forsyth St, Macon, GA 31201-1408 | 2016-08-12 |
| 1174998561 | Courtney Griggers | Pedorthist | 1600 Forsyth St, Macon, GA 31201-1408 | 2015-12-10 |
| 1669726329 | Amy Marie Sawyer | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2012-11-02 |
| 1619220076 | Michelle Leigh Nowell | Nurse Practitioner | 1600 Forsyth St, Macon, GA 31201-1408 | 2012-10-23 |
| 1295086999 | Joshua Shane Young | Nurse Practitioner | 1600 Forsyth St, Macon, GA 31201-1408 | 2012-09-21 |
| 1861799843 | Deanna Seward Sanders | Registered Nurse | 1600 Forsyth St, Macon, GA 31201-1408 | 2011-02-28 |
| 1104140839 | Diana J Raley | Physical Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2010-03-24 |
| 1740418524 | Lori G Gilbert | Occupational Therapist | 1600 Forsyth St, Macon, GA 31201-1408 | 2009-06-30 |
| 1396945135 | Jonathan T Mullis | Physician Assistant | 1600 Forsyth St, Macon, GA 31201-1408 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| 1578160560 | Ida Mayaka | Nurse Practitioner | 210 Autumn Trace Ct, Macon, GA 31210-8025 | 2020-10-03 |
| 1427664465 | Shanna Lynn Beaulieu | Nurse Practitioner | 781 Spring St Ste 230, Macon, GA 31201-2185 | 2020-09-16 |
| 1467070557 | Raquel Simmons | Nurse Practitioner | 670 Ivy Brook Way, Macon, GA 31210-5520 | 2020-07-06 |
| 1174159800 | Jamie K Polk | Nurse Practitioner | 3951 Ridge Ave Ste C, Macon, GA 31210-5064 | 2020-03-13 |
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1730730581 | Lindsay Fernandez | Nurse Practitioner | 102 Saint Johns Pl, Macon, GA 31210-8606 | 2019-09-24 |
| 1003468240 | Skylar Nelson | Nurse Practitioner | 330 Hospital Dr Ste 200, Macon, GA 31217-8034 | 2019-07-09 |
| 1861051880 | Courtney Elizabeth Avery | Nurse Practitioner | 540 Charter Blvd Ste 400, Macon, GA 31210-4882 | 2019-06-12 |
| 1376101196 | Detra K Dixon | Nurse Practitioner | 227 Amalie Dr, Macon, GA 31220-2667 | 2019-06-05 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.