Individual provider Active NPI

Candace Michelle Billotte, FNP-BC

  • Family Nurse Practitioner
  • Ocilla, GA
National Provider Identifier
1073367017
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216307 Issued in GA
Practice address
175 Cornflower Rd
Ocilla, GA 31774-4057
Phone
(912) 381-0078
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241016003913 GA Practitioner - Nurse Practitioner 0446782338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D. Conrad Harper, MD LLC CurrentSince Aug 1, 2024 Accepting new patients
Douglas Family Medicine Assoc Past Accepting new patients

Locations

102 Bowens Mill Rd
Douglas, GA 31533
Phone (912) 384-3838

101 Bowens Mill Rd
Ste D
Douglas, GA 31533
Phone (912) 384-2000

Interoperability endpoints

  • Direct secure messaging: candace.billotte.1@21809.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21809/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216307 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

175 Cornflower Rd
Ocilla, GA 31774-4057

Mailing address

175 Cornflower Rd
Ocilla, GA 31774-4057
Phone (912) 381-0078

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2024.

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1073367017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CORNFLOWER RD",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317744057",
            "telephone_number": "912-381-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CORNFLOWER RD",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317744057",
            "telephone_number": "912-381-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLOTTE",
        "first_name": "CANDACE",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocilla, GA

Sources for this page

Verify at the official NPI Registry.