Active NPI
Candice J Williams, MD
- Anesthesiology Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 89709
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, Geffen School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1075 Lafayette Pkwy
Suite 100
Lagrange, GA 30241-3507
Phone (706) 443-5273
Hospital & facility affiliations
- Eamc - Lanier
- Wellstar West Georgia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110292 | CA | MD | General Practice Dentistry |
| 89709 | GA | MD | Anesthesiology Physician |
| 87909 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pain and Wellness Center | Pain Medicine | Current | Accepting new patients |
| Capitol Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Total Diagnostic and Interventional Pain PC | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Pain Medicine | Current | 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
- cwilliams663190@direct.memorialcare.org
- candice.williams.1@5888.direct.athenahealth.com
- 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.
-
- Interventional Pain Medicine Physician
- Lagrange, GA
- NPI 1609143502
-
- Anesthesiology Physician
- Morrow, GA
- NPI 1245287192
-
- Interventional Pain Medicine Physician
- Lawrenceville, GA
- NPI 1356781181
-
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1427820190
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
-
- General Acute Care Hospital
- Valley, AL
- NPI 1780235002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.