Individual provider Active NPI

Candace T Smith, M.D.

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1619908951
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33143 Issued in NC
Practice address
3511 W Market St Ste 250
Greensboro, NC 27403-4445
Phone
(336) 852-3800
Fax
(336) 852-5725
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33143 NC Primary

Addresses

Primary practice location

3511 W Market St Ste 250
Greensboro, NC 27403-4445

Mailing address

PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 852-3800

Other identifiers 3

IdentifierTypeStateIssuer
77267OtherNCBCBS OF NC
8977267MedicaidNC
74263OtherNCMEDCOST

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address candace.smith@eaglep.eclinicaldirectplus.com
Direct Messaging Address candace.smith@eaglep.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100507000657 NC Practitioner - Family Practice 5294825386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Physicians and Associates PAGroup PAC ID 0244134468, 101 clinicians

Practice addresses (Care Compare)

3511 W Market St
Suite 250
Greensboro, NC 27403-4445
Phone (336) 852-3800

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33143NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Family Medicine CurrentSince Nov 6, 2000 Accepting new patients
Eagle Physicians and Associates PA Family Medicine Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 6, 2000 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

3511 W Market St
Ste 250
Greensboro, NC 27403
Phone (336) 852-3800

3511 W Market St
Ste A
Greensboro, NC 27403
Phone (336) 852-3800

324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515

Interoperability endpoints

  • Direct secure messaging: candace.smith@eaglep.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAEGAA

Organizations & group practices 6

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 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619908951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-852-3800",
            "fax_number": "336-852-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST STE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034445",
            "telephone_number": "336-852-3800",
            "fax_number": "336-852-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDACE",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "77267",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977267",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "74263",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace.smith@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3511 W Market St",
            "address_2": "Suite A",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274034443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candace.smith@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3511 W Market St Ste 250",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274034445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.