Candice Nicole Blackwood, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-156478 Issued in AL

Practice address

2424 Danville Rd SW Ste K
Decatur, AL 35603-4219

Phone

(256) 309-5850

Fax

(256) 309-5851

NPI assigned

Sep 15, 2021

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

Other names 1

• Candice Nicole Sanders Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Madison Urgent and Primary Care LLCGroup PAC ID 4486034774, 10 clinicians

Highlands Internal Medicine, LLCGroup PAC ID 9234130543, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Merit-based Incentive Payment System (MIPS)

Final score

95.45 of 100Reported as apm

Quality

90.9

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25534/brand/1/csg/1/fhir/r4
• Direct secure messaging: candice.blackwood.1@25534.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25760/brand/1/csg/1/fhir/r4
• Direct secure messaging: candice.blackwood.1@25760.direct.athenahealth.com

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.

• West Madison Urgent & Primary Care, LLC

  • Urgent Care Clinic/Center
  • Madison, AL
  • NPI 1558006767
  Medicare reassignment Care Compare group NPD
• Highlands Internal Medicine LLC

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1568531820
  Medicare reassignment Care Compare group
• Attentus Moulton, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1124062286
  Medicare reassignment NPD
• Attentus Moulton, LLC

  • Rural Health Clinic/Center
  • Moulton, AL
  • NPI 1760930200
  NPD
• Highlands Internal Medicine

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1851401699
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation
• Mid-South Home Health, LLC

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1306516893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COUNTY ROAD 390",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "356733162",
            "telephone_number": "256-345-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 DANVILLE RD SW STE K",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034219",
            "telephone_number": "256-309-5850",
            "fax_number": "256-309-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "CANDICE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-156478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "SANDERS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Barry G. Black, CRNA
• Caleb Blackman, LGSW
• Paige Blackwood, RN
• Kaitlyn Blagburn, BA
• Logan Chandler Blake, PT, DPT
• Morgan Taylor Blake, PT, DPT
• De Etta Lynn Blakenship

• Family Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.