NPIMap

Individual provider Active NPI

Candace Carole King, MD

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1659554855
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30094 Issued in AL
Practice address
2204 Lakeshore Dr Ste 410
Birmingham, AL 35209-6729
Phone
(205) 870-5678
Fax
(205) 879-0071
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 40258 KY
Psychiatry Physician 2084P0800X 30094 AL Primary

Addresses

Primary practice location

2204 Lakeshore Dr Ste 410
Birmingham, AL 35209-6729

Mailing address

PO Box 114070536
Birmingham, AL 35246-0536
Phone (205) 638-2367

Other practice location 1

257 Parkland Hts
Cynthiana, KY 41031-6017
Phone (859) 234-6940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Children's Hospital of Alabama PastSince Mar 9, 2020 Accepting new patients
Alabama Clinical Schools, Inc Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
SVPS Psychiatric Services LLC Psychiatry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cking20747@childrensofalabama.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1659554855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114070536",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460536",
            "telephone_number": "205-638-2367",
            "fax_number": "205-638-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR STE 410",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-870-5678",
            "fax_number": "205-879-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Parkland Hts",
            "address_purpose": "LOCATION",
            "city": "Cynthiana",
            "state": "KY",
            "postal_code": "410316017",
            "country_code": "US",
            "telephone_number": "859-234-6940",
            "fax_number": "859-234-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CANDACE",
        "middle_name": "CAROLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "40258",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "30094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.