Individual provider Active NPI

Candice Hesse Coble, PA-C

  • Medical Physician Assistant
  • Cary, NC
National Provider Identifier
1407143159
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-02970 Issued in NC
Practice address
101 SW Cary Pkwy
Ste 210
Cary, NC 27511
Phone
(919) 467-8556
NPI assigned
Jul 1, 2011
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-02970 NC Primary

Addresses

Primary practice location

101 SW Cary Pkwy
Ste 210
Cary, NC 27511

Mailing address

101 SW Cary Pkwy
Ste 210
Cary, NC 27511-5562
Phone (412) 303-1508

Other names 1

  • Ms. Candice Louise Coble Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110726000261 NC Practitioner - Physician Assistant 1850569492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Skin Cancer Center, PAGroup PAC ID 0244573319, 8 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 200
Wake Forest, NC 27587-5741
Phone (919) 436-4124

166 Springbrook Ave
Suite 203
Clayton, NC 27520-8520
Phone (919) 436-4124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22261CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital PastSince Nov 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: candice.hessepa.p1@direct.plannedparenthoodla.nextgenshare.com
  • Direct secure messaging: chesse@directaddress.net

Organizations & group practices 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1407143159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY",
            "address_2": "STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "412-303-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY",
            "address_2": "STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27511",
            "telephone_number": "919-467-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "CANDICE",
        "middle_name": "HESSE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "COBLE",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.