Individual provider Active NPI

Candace Kirk Surface

  • Family Nurse Practitioner
  • Lynn Haven, FL
National Provider Identifier
1144891870
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11042232 Issued in FL
Practice address
1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone
(850) 571-5844
NPI assigned
Jul 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11042232 FL Primary

Addresses

Primary practice location

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Mailing address

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone (850) 571-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220329001962 AL Practitioner - Nurse Practitioner 0749672939 Reassigns benefits to 1 organization
I20251014003023 FL Practitioner - Nurse Practitioner 0749672939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Medical Group, LLCGroup PAC ID 6305039488, 2 clinicians

Practice addresses (Care Compare)

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone (850) 571-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince May 23, 2023 Accepting new patients
Greater Montgomery Patient Centered Gastroenterology and Hepatology CurrentSince Sep 1, 2021 Accepting new patients
Rural Urgent Care LLC CurrentSince May 23, 2023 Accepting new patients
North Florida Medical Group, LLC Family CurrentSince Sep 29, 2025 Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

1725 Park Pl
Montgomery, AL 36106
Phone (334) 293-8484

1898 Mulberry St
Montgomery, AL 36106
Phone (334) 239-7059

1702 Ohio Ave
Lynn Haven, FL 32444
Phone (850) 571-5844

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.

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1144891870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURFACE",
        "first_name": "CANDACE",
        "middle_name": "KIRK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11042232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.