Candice Sara Cerracchio, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6240 Issued in GA

Practice address

225 Candler Dr Ste 100
Savannah, GA 31405-6093

Phone

(912) 352-1700

Fax

(912) 354-8545

NPI assigned

Aug 10, 2005

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

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• SJC Oncology Services - Georgia, LLC

  • Radiation Oncology Physician
  • Savannah, GA
  • NPI 1710196589
  Medicare reassignment
• Avicenna Physician Services Inc

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1801499850
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1114929130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CANDLER DR STE 100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056093",
            "telephone_number": "912-352-1700",
            "fax_number": "912-354-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Buckwalter Place Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299105023",
            "country_code": "US",
            "telephone_number": "843-836-7120",
            "fax_number": "843-836-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERRACCHIO",
        "first_name": "CANDICE",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerwell Certified Healthcare Corp.
• Centerwell Senior Primary Care Ga PC
• Centurion Surgery Center of Savannah LLC
• Reinali Cermeno Soler, DPT
• Frances Cerna
• Reed Thomas Cetti, OTR/L
• Kaushik Chaganty, MD
• Michael K Chahin, DO
• Olga Suzanne Chajewski, M.D.
• Amy Michelle Chakoutis

• Physician Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.