Active NPI
Candace Danielle Thomas, PA-C
- Physician Assistant
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3325
- Practice address
- 1998 Hendersonville Rd Ste 53
Asheville, NC 28803-2192 - Phone
- (828) 585-5489
- Fax
- (855) 308-2340
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 3325 | TN | Primary |
Addresses
Primary practice location
1998 Hendersonville Rd Ste 53
Asheville, NC 28803-2192
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
Other practice location 1
1800 W Market St
Johnson City, TN 37604-6023
Phone (423) 854-4190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P02580824 | Other | NC | RAILROAD MEDICARE |
| 1023534401 | Medicaid | NC | |
| 20D34 | Other | NC | BCBS NC |
| NNE256A | Other | NC | MEDICARE |
Other names 1
- Miss Candace Danielle Matherly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1800 W Market St
Johnson City, TN 37604-6023
Phone (931) 253-1110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
3430 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 820-0033
2280 S Shady St
Mountain City, TN 37683
Phone (423) 501-2165
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1023534401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790360",
"telephone_number": "888-339-6065",
"fax_number": "828-538-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 HENDERSONVILLE RD STE 53",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032192",
"telephone_number": "828-585-5489",
"fax_number": "855-308-2340"
}
],
"practiceLocations": [
{
"address_1": "1800 W Market St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046023",
"country_code": "US",
"telephone_number": "423-854-4190",
"fax_number": "423-854-4191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "CANDACE",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "3325",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P02580824",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023534401",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "20D34",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NNE256A",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "MATHERLY",
"middle_name": "DANIELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.