Candice Owens, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN201321 Issued in GA

Practice address

2620 Old Winder Hwy
Braselton, GA 30517-6105

Phone

(678) 821-2401

NPI assigned

Aug 29, 2024

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 GA

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

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.

• Advanced Urgent Care LLC

  • Urgent Care Clinic/Center
  • Braselton, GA
  • NPI 1235614074
  Medicare reassignment NPD

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1508690751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SUNRISE LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412314",
            "telephone_number": "404-803-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176105",
            "telephone_number": "678-821-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "CANDICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN201321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Anne Offenhauer, PHARMD
• Susan B Oh, M.D.
• Erica Okoli, MD,MHS
• Laura Osborne
• Olaniyi Olabode Osofisan, M.D.
• Adebimpe Wakilat Oyowe, M.D. PHD.
• Anna E. Packer, MA, LPC
• Adelina Paduraru, MS, RD, LD
• Joel Nathaniel Palmer, D.O.
• Jun Pan, LMT

• Family Nurse Practitioner in Braselton, GA
• Providers in Braselton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.