Candace A Whitley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TN1195 Issued in TN

Practice address

3901 Central Pike
Suite 352
Hermitage, TN 37076-3419

Phone

(615) 874-0811

Fax

(615) 874-0815

NPI assigned

May 2, 2007

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trustpoint Hospital LLC

  • Psychiatry Physician
  • Murfreesboro, TN
  • NPI 1518302983
  Medicare reassignment NPD
• Tennessee Family Solutions, Inc

  • Adult Medicine Physician
  • Smyrna, TN
  • NPI 1184196990
  Medicare reassignment
• Tennessee Family Solutions, Inc

  • Adult Mental Health Clinic/Center
  • Smyrna, TN
  • NPI 1104435759
  NPD
• Trustpoint Hospital LLC

  • Psychiatric Hospital Unit
  • Murfreesboro, TN
  • NPI 1376149955
  NPD
• Tennessee Urgent Care Associates, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1548258825

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1497977318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-874-0811",
            "fax_number": "615-874-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 352",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-874-0811",
            "fax_number": "615-874-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "CANDACE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "TN1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Wells, AGACNP-BC
• Katherine Marie Welter, M.A., BCBA
• Thomas G Westermeier, MD
• Lowell Conrad Whitefield, DDS
• Mark Herndon Whitefield
• Tara L Whitlock, ED.S.
• Kameela E Williams-Jackson, APN
• Amanda Williams, OT
• Cynthia Renee' Williams, NURSE PRACTITIONER
• Lisa Gay Williams, O.D.

• Physician Assistant in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.