Candace M. Walker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

070925 Issued in GA

Practice address

5610 Wendy Bagwell Pkwy
Hiram, GA 30141-7837

Phone

(770) 943-7808

Fax

(770) 943-7805

NPI assigned

Nov 1, 2013

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Candace M. Lane Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trident Primary Care and Wellness Clinic LLCGroup PAC ID 6800236316, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwalker62587@directwellstar.org

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.

• Trident Primary Care & Wellness Clinic LLC

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1760262463
  Medicare reassignment Care Compare group NPD
• National Family Medical Associates of Georgia, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1396527321
  Medicare reassignment NPD
• Vpa PC

  dba Harmonycares Medical Group

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1164149365
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Vpa PC

  dba Harmonycares Medical Group

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1750066932
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1629407549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 WENDY BAGWELL PKWY",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417837",
            "telephone_number": "770-943-7808",
            "fax_number": "770-943-7805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Largent Way",
            "address_2": "Well Star West Cobb Family Practice",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30064",
            "country_code": "US",
            "telephone_number": "678-581-5830",
            "fax_number": "678-581-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CANDACE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "070925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "LANE",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-0618)
• Wal-Mart Stores East, LP.
• Zachary Walden, NP
• Walgreen Co (Walgreens #17568)
• Amanda Walker
• Mary Walker, PT
• Donna Van Bladel Wall, NP
• Joseph Wanders
• Caprisha Warren
• John Warren, DMD

• Family Medicine Physician in Hiram, GA
• Providers in Hiram, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.
• 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.