Individual provider Active NPI

Candace Phillips Hall, MSN,APRN,FNP-C,IBCLC

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1619629813
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220625 Issued in NC
Practice address
2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone
(910) 488-4525
Fax
(910) 488-4530
NPI assigned
Jan 19, 2022
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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 F01220625 NC Primary

Addresses

Primary practice location

2313 Murchison Rd
Fayetteville, NC 28301-3517

Mailing address

2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone (910) 488-4525

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220706003915 NC Practitioner - Nurse Practitioner 4284014341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone 91048366947057

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01220625NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Center PLLC CurrentSince Mar 1, 2022 Accepting new patients
Stedman-Wade Health Services, Inc. CurrentSince Sep 17, 2023 Accepting new patients
Interventional Pain Center, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Stedman - Wade Health Services, Inc CurrentSince Sep 17, 2023 Accepting new patients
Stedman-Wade Health Services, Inc. Past Accepting new patients

Locations

2153 Valleygate Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 321-7246

2313 Murchison Rd
Fayetteville, NC 28301
Phone (910) 483-6694

4320 Fayetteville Rd
Ste A
Lumberton, NC 28358
Phone (910) 738-2330

Interoperability endpoints

  • Direct secure messaging: candace.hall.1@7912.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7912/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1619629813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 MURCHISON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013517",
            "telephone_number": "910-488-4525",
            "fax_number": "910-488-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 MURCHISON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013517",
            "telephone_number": "910-488-4525",
            "fax_number": "910-488-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CANDACE",
        "middle_name": "PHILLIPS",
        "credential": "MSN,APRN,FNP-C,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F01220625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.