Candler Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CANDLER INTERNAL MEDICINE

Practice address

380 Sconyers St
Metter, GA 30439-3261

Phone

(912) 685-3992

Fax

(912) 681-1444

NPI assigned

Jan 8, 2015

Last updated

Jan 22, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rani S Reddy, M.D.

Title

M.D.

Phone

(912) 682-1097

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1043608474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2029",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592029",
            "telephone_number": "912-685-3992",
            "fax_number": "912-681-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 SCONYERS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393261",
            "telephone_number": "912-685-3992",
            "fax_number": "912-681-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RANI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "912-682-1097",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000468201G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candler County Board of Commissioners (Candler County EMS)
• Candler County Board of Health
• Candler County LTC LLC (Azalea Health and Rehabilitation)
• Candler County Schools,SBS
• Candler Emergency Group, LLC
• Candler Medical Group, Inc. - Metter
• Candler Pharmacy PC
• Candler Pharmacy PC
• Candler Pharmacy PC (Candler Pharmacy LTC)
• Candler Psychological Services

• Internal Medicine Physician in Metter, GA
• Providers in Metter, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.