Active NPI
Charles T Canady Jr., MD
- Obstetrics & Gynecology Physician
- Fort Stewart, GA
National Provider Identifier
1447227020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0033678
- Practice address
- 1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-6633
- NPI assigned
- Mar 2, 2006
- Last updated
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0033678 | MD | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 4664 | AK |
Addresses
Primary practice location
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0106 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4664 | AK | MD | Obstetrics & Gynecology Physician |
| D0033678 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients | |
| Harbor City OB/GYN Associates | Obstetrics & Gynecology | Past | Accepting new patients |
| Harbor Hospital | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1720252612
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
-
- Clinical Pathology/Laboratory Medicine Physician
- Baltimore, MD
- NPI 1851507545
-
dba MHHP LLC
- General Practice Physician
- Baltimore, MD
- NPI 1386067783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1447227020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADY",
"first_name": "CHARLES",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0033678",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AK",
"license": "4664",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD0106",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.