Candice Sherese Stallworth, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5013060 Issued in NC

Practice address

2301 Medpark Dr
Rocky Mount, NC 27804-2288

Phone

(252) 962-5410

NPI assigned

Feb 19, 2020

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NHCS Physicians Inc

  dba Nash Critical Care

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275
  Medicare reassignment Care Compare group NPD
• Unc Physicians Network LLC

  dba UNC Family Medicine at Pittsboro

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group NPD
• Blue Ridge Healthcare Medical Group, Inc.

  dba Women's Health Group-Valdese

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931
  Medicare reassignment NPD
• Garner Behavioral Hospital, LLC

  dba Raleigh Oaks Behavioral Health

  • Adult Mental Health Clinic/Center
  • Garner, NC
  • NPI 1548049679
  Medicare reassignment NPD
• Blue Ridge Healthcare Medical Group, Inc.

  dba Blue Ridge Transitional Care Clinic

  • Internal Medicine Physician
  • Morganton, NC
  • NPI 1578424685
  NPD
• Blue Ridge Healthcare Medical Group, Inc.

  dba Grace Psychiatric Associates

  • Psychiatry Physician
  • Morganton, NC
  • NPI 1891884748
  NPD
• NHCS Physicians Inc

  dba Nash Specialty Services PA-C

  • Physician Assistant
  • Rocky Mount, NC
  • NPI 1003028630
  NPD
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1558994491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MEDPARK DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042288",
            "telephone_number": "252-962-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MEDPARK DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042288",
            "telephone_number": "252-962-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "CANDICE",
        "middle_name": "SHERESE",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013060",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "232478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstallworth146340@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• St. Mary's Home Care, Inc.
• Phyllis Yevette St.John, LCAS-P,LPCA, CRC
• St.Mary's Homes Care (St.Mary's Case Management)
• Tania Janei Stack, MSW, LCSW, CHC
• Stacy Johnson Companion Services (Stacy's @ Home Health Care)
• Standard Above All, Inc.
• Patricia L Stanford-Adams, OD
• Starting Pointe, Inc.
• Keenya Anderson Staten, FNP-C
• Chantel Staton

• Psychiatric/Mental Health Nurse Practitioner in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.