Candice Shadel Granger, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001850 Issued in GA

Practice address

775 Sunset Dr
Athens, GA 30606-2211

Phone

(706) 425-1500

NPI assigned

Dec 11, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1215302526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MOUNTAIN RIDGE WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582923",
            "telephone_number": "678-230-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SUNSET DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062211",
            "telephone_number": "706-425-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "CANDICE",
        "middle_name": "SHADEL",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stalina Cine Gowdie, M.D.
• Grace Psychotherapy & Psychological Assesment Services of North Ga
• John F Grace, PSY.D
• Gay M. Gragson
• Kelly McElreath Graham, PA-C
• Beverly Anne Grant, LPC, CAADC
• Kathleen H Grant, MD
• Cheryl Marie Gravitt, LPC
• Greater Grace Development Center, LLC
• Samuel Michael Greavu, PT, DPT, CERT. DN

• Occupational Therapy Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.