Candace Taylor Teat, FNP, BSN, RN

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

223190 Issued in GA

Practice address

128 S Broad St
Monroe, GA 30655-2154

Phone

(678) 632-1222

NPI assigned

Mar 6, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1417755281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 WALL RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564992",
            "telephone_number": "678-978-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S BROAD ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552154",
            "telephone_number": "678-632-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAT",
        "first_name": "CANDACE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "FNP, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "223190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgianne Ashley Summer, AG-ACNP
• Summit BHC Monroe, LLC
• Ernst Suneus, PHARMD
• Susan Denise Tackett, CPED
• Daniela Tanase, MD
• The Bridge of Georgia Center Inc.
• The Bridge of Georgia School, Inc
• The Doctors Delp LLC
• The Sanctuary House, Inc
• William Anthony Thornton

• General Practice Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.