Active NPI
Candace N Short, CRNP
- Family Medicine Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1-079259
- Practice address
- 500 Healthwest Dr
Dothan, AL 36303-6900 - Phone
- (334) 699-5994
- Fax
- (334) 699-5995
- NPI assigned
- Dec 18, 2006
- Last updated
- Nov 5, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1079259 | AL | |
| Family Medicine Physician | 207Q00000X | 1-079259 | AL | Primary |
Addresses
Primary practice location
500 Healthwest Dr
Dothan, AL 36303-6900
Mailing address
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573
1118 Ross Clark Cir
Suite 704
Dothan, AL 36301-3030
Phone (334) 824-3098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079259 | AL | MD | Specialist |
| 1-079259 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics & Gynecology of Dothan Inc | Current | Accepting new patients | |
| Elite Neurospine & Vascular Institute LLC | Current | Accepting new patients | |
| Womens Healthcare of Dothan PC | Specialist | Current | Accepting new patients |
| Houston County Healthcare Authority | Family Medicine | Current | Accepting new patients |
| Houston County Healthcare Authority | Family Medicine | Current | Accepting new patients |
Locations
102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804
104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 704
Dothan, AL 36301
Phone (334) 794-5335
1458 Whatley Dr
Dothan, AL 36303
Phone (334) 671-9445
4300 W Main St
Ste 31
Dothan, AL 36305
Phone (334) 793-6511
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1326920117
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
Family Medicine
-
dba Ladies First
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1114021409
-
- Specialist
- Dothan, AL
- NPI 1518912351
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699142400000",
"number": "1407919822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 W MAIN ST",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051056",
"telephone_number": "334-793-5000",
"fax_number": "334-615-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HEALTHWEST DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363036900",
"telephone_number": "334-699-5994",
"fax_number": "334-699-5995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "CANDACE",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2023-11-05",
"certification_date": "2023-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "1079259",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "1-079259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.