Individual provider Active NPI

Candace Mayberry Rowland, A.P.N.

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1467583021
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11100 Issued in TN
Practice address
16 Murray Guard Dr Ste B
Jackson, TN 38305-3751
Phone
(731) 574-9779
NPI assigned
Mar 8, 2007
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11100 TN Primary

Addresses

Primary practice location

16 Murray Guard Dr Ste B
Jackson, TN 38305-3751

Mailing address

16 Murray Guard Dr Ste B
Jackson, TN 38305-3751
Phone (731) 574-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050818000214 TN Practitioner - Nurse Practitioner 3779513866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Murray Guard Dr
Suite B
Jackson, TN 38305-3751
Phone (731) 574-9778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Tennessee, PC CurrentSince Aug 1, 2024 Accepting new patients
BH Services Southeast 1 PC Current Accepting new patients
Heartland Infusion CurrentSince May 1, 2023 Accepting new patients
Heartland Family Clinic, LLC CurrentSince Sep 30, 2024 Accepting new patients
Brownsville Medical Clinic, P.a. Current Accepting new patients
Encore Infusion of Tennessee PC CurrentSince Oct 17, 2023 Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002

2565 N Washington Ave
Brownsville, TN 38012
Phone (731) 772-4199

2028 W Poplar Ave
Ste 113
Collierville, TN 38017
Phone (901) 696-2440

16 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 574-9778

54 Exeter Rd
Ste B
Jackson, TN 38305
Phone (731) 265-6197

1880 N Eastman Rd
Ste 150
Kingsport, TN 37664
Phone (865) 862-4557

10910 Kingston Pike
Unit 101
Knoxville, TN 37934
Phone (865) 675-2050

9943 Kingston Pike
Knoxville, TN 37922
Phone (865) 862-4557

365 E Economy Rd
Morristown, TN 37814
Phone (865) 862-4557

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1467583021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053751",
            "telephone_number": "731-574-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053751",
            "telephone_number": "731-574-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLAND",
        "first_name": "CANDACE",
        "middle_name": "MAYBERRY",
        "name_prefix": "Mrs.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.