Individual provider Active NPI

Candace N McAlpine, M.D.

  • Anesthesiology Physician
  • Myrtle Beach, SC
National Provider Identifier
1245491174
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2016-01299 Issued in NC
Practice address
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone
(843) 692-1063
NPI assigned
Jun 23, 2008
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 148797 NC
Anesthesiology Physician 207L00000X 2016-01299 NC Primary

Addresses

Primary practice location

809 82ND Pkwy
Myrtle Beach, SC 29572-4607

Mailing address

735 Chisholm Rd
Myrtle Beach, SC 29579-3625
Phone (501) 282-6431

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001609 NC Practitioner - Anesthesiology 5496903288 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148797NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gate City Anesthesia, Inc Anesthesiology CurrentSince Jul 3, 2017 Accepting new patients
Surgical Center of Greensboro, LLC Current Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Aug 22, 2016 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Aug 22, 2016 Accepting new patients

Locations

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

21 Oak Branch Dr
#A
Greensboro, NC 27407

21A Oak Branch Dr
Greensboro, NC 27407
Phone (336) 478-2664

705 Green Valley Rd
Greensboro, NC 27408
Phone (336) 272-0012

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1245491174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CHISHOLM RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793625",
            "telephone_number": "501-282-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724607",
            "telephone_number": "843-692-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALPINE",
        "first_name": "CANDACE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "148797",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2016-01299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.