Individual provider Active NPI

Candace Blount Harris

  • Family Nurse Practitioner
  • Hoover, AL
National Provider Identifier
1518445139
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-127829 Issued in AL
Practice address
2949 John Hawkins Pkwy
Hoover, AL 35244-1095
Phone
(205) 987-0005
Fax
(205) 987-0065
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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 1-127829 AL Primary

Addresses

Primary practice location

2949 John Hawkins Pkwy
Hoover, AL 35244-1095

Mailing address

774 Shades Mountain PLZ
Hoover, AL 35226-1513
Phone (205) 979-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181023002228 AL Practitioner - Nurse Practitioner 7719230630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

2949 John Hawkins Pkwy
Hoover, AL 35244-1095
Phone (205) 987-0005

5000 Cahaba River Rd
Vestavia, AL 35243-2317
Phone (659) 241-0200

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-127829ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Nov 27, 2024 Accepting new patients
Eon Care Services, LLC CurrentSince Aug 11, 2025 Accepting new patients
Hoover Medicine, Inc. CurrentSince Aug 6, 2018 Accepting new patients

Locations

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

774 Shades Mountain Plz
Hoover, AL 35226
Phone (205) 979-3381

2949 John Hawkins Pkwy
Hoover, AL 35244
Phone (205) 396-1530

3081 Lorna Rd
Ste 101
Hoover, AL 35216
Phone (205) 960-5208

Interoperability endpoints

  • Direct secure messaging: candace.harris.1@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1518445139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 SHADES MOUNTAIN PLZ",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352261513",
            "telephone_number": "205-979-3381",
            "fax_number": "205-979-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 JOHN HAWKINS PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441095",
            "telephone_number": "205-987-0005",
            "fax_number": "205-987-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CANDACE",
        "middle_name": "BLOUNT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-127829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.