Individual provider Active NPI

Candice J Williams, MD

  • Anesthesiology Physician
  • Lagrange, GA
National Provider Identifier
1346481884
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
89709 Issued in GA
Practice address
1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone
(706) 443-5273
Fax
(706) 530-2244
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 87909 GA
Anesthesiology Physician 207L00000X 89709 GA Primary

Addresses

Primary practice location

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507

Mailing address

1075 Lafayette Pkwy Ste 100
Lagrange, GA 30241-3507
Phone (706) 443-5273

Other practice location 1

830 Eagles Landing Pkwy Ste 204
Stockbridge, GA 30281-7366
Phone (770) 962-3642

Other names 1

  • Candice J Bereal Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314001109 GA Practitioner - AnesthesiologyPractitioner - Pain Management 5991952376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of California, Geffen School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Diagnostic and Interventional Pain PCGroup PAC ID 7517123904, 2 clinicians

Practice addresses (Care Compare)

1075 Lafayette Pkwy
Suite 100
Lagrange, GA 30241-3507
Phone (706) 443-5273

Hospital & facility affiliations

  • Eamc - Lanier Hospital, Valley, AL, CCN 010780
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110292CAMDGeneral Practice Dentistry
89709GAMDAnesthesiology Physician
87909GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center Pain Medicine CurrentSince Jan 11, 2025 Accepting new patients
Capitol Anesthesiology, PC Anesthesiology CurrentSince May 1, 2025 Accepting new patients
Total Diagnostic and Interventional Pain PC CurrentSince Sep 27, 2025 Accepting new patients
Georgia Pain and Wellness Center Pain Medicine CurrentSince Jan 11, 2025 Accepting new patients

Locations

1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238

1075 Lafayette Pkwy
Ste 100
Lagrange, GA 30241
Phone (706) 443-5273

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

156 Foster Dr
Spc C
McDonough, GA 30253

156 Foster Dr
Ste A
McDonough, GA 30253
Phone (404) 932-0295

1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

830 Eagles Landing Pkwy
Ste 204
Stockbridge, GA 30281

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

Interoperability endpoints

  • Direct secure messaging: cwilliams663190@direct.memorialcare.org
  • Direct secure messaging: candice.williams.1@5888.direct.athenahealth.com
  • Direct secure messaging: candice.williams.2@5888.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1346481884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "706-530-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 100",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413507",
            "telephone_number": "706-443-5273",
            "fax_number": "706-530-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Eagles Landing Pkwy Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817366",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CANDICE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "87909",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "89709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "BEREAL",
            "middle_name": "J",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.