Candice Pike Clark, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006255 Issued in NC

Practice address

6013 Farrington Rd Ste 101
Chapel Hill, NC 27517-8173

Phone

(984) 974-7010

Fax

(984) 974-7020

NPI assigned

Jun 28, 2013

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Candice Thelesia Pike Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Home Care Home health agency, Siler City, NC, CCN 347309
• Amedisys Home Health of Chapel Hill Home health agency, Chapel Hill, NC, CCN 347030
• Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311
• Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cclark6737@direct.unc.nchie.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Chatham Hospital, Inc.

  dba Chatham Professional Group

  • Critical Access Hospital
  • Siler City, NC
  • NPI 1689967457
  Medicare reassignment NPD
• Chatham Medical Specialists PA

  • Internal Medicine Physician
  • Siler City, NC
  • NPI 1811966658
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Southpoint

  • Family Medicine Physician
  • Durham, NC
  • NPI 1679997944
  NPD
• Unc Physicians Network, LLC

  dba Chatham Medical Specialists

  • Internal Medicine Physician
  • Siler City, NC
  • NPI 1528337664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys North Carolina, LLC

  dba Amedisys Home Health of Chapel Hill

  • Home Health Agency
  • Chapel Hill, NC
  • NPI 1326096074
  Care Compare affiliation
• Chatham Hospital Inc

  • Critical Access Hospital
  • Siler City, NC
  • NPI 1093712655
  Care Compare affiliation
• Chatham Hospital Inc

  • Critical Access Hospital
  • Siler City, NC
  • NPI 1346381266
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  dba Liberty Home Care II, LLC

  • Home Health Agency
  • Sanford, NC
  • NPI 1699721324
  Care Compare affiliation
• Liberty Healthcare Group, LLC

  dba Liberty Home Care II, LLC

  • Home Health Agency
  • Siler City, NC
  • NPI 1982659215
  Care Compare affiliation
• University of North Carolina Hospitals at Chapel Hill

  dba UNC Hospitals

  • General Acute Care Hospital
  • Chapel Hill, NC
  • NPI 1932208576
  Care Compare affiliation

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1063852572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR",
            "address_2": "STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442",
            "telephone_number": "984-215-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 FARRINGTON RD STE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178173",
            "telephone_number": "984-974-7010",
            "fax_number": "984-974-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CANDICE",
        "middle_name": "PIKE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cclark6737@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6013 Farrington Rd Ste 101",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275178173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "PIKE",
            "middle_name": "THELESIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mya Clark-Beadle
• Sean Clark-Garvey, M.D.
• Alicia Kohn Clark
• Angela Scott Clark, PHARMD
• Anne Clark
• Emily Claire Clark, LCSW, LCAS
• Hollins Peel Clark, MD
• Jonathan Clark
• Karen Harrell Clark, M.D.
• Leslie Horn Clark, MD

• Family Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.

Verify at the official NPI Registry.