Candance Eungenia Judkins

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-135397 Issued in AL

Practice address

801 North St E
Talladega, AL 35160-2529

Phone

(256) 362-3005

Fax

(256) 268-5019

NPI assigned

Sep 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Clinic, LLCGroup PAC ID 6002235801, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Main Street Clinic, LLC

  • Pediatrics Physician
  • Pell City, AL
  • NPI 1740895291
  Medicare reassignment Care Compare group NPD
• Eastside Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Birmingham, AL
  • NPI 1770637910
  Medicare reassignment NPD
• Smart Care, LLC

  • Pediatrics Physician
  • Talladega, AL
  • NPI 1922615749
  Medicare reassignment NPD
• Eastside Mental Health Center

  • Counselor
  • Birmingham, AL
  • NPI 1023283421
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1679824973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 CHESHIRE COVE PL",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351115023",
            "telephone_number": "205-747-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-362-3005",
            "fax_number": "256-268-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "CANDANCE",
        "middle_name": "EUNGENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-135397",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AL",
            "license": "1-135397",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-135397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke R. Jacks
• Amanda Johnson, LMSW
• Cynthia L Jones, MD
• Elizabeth Barker Jones
• Ashley Nicole Judkins, LPC, NCC
• Julie Moon Inc
• Jacob Sims Justice, DPT
• Kdreid Services LLC
• Keith a. Williamson, MD, LLC
• Khalid L Khan, M.D., P.C.

• Psychiatric/Mental Health Nurse Practitioner in Talladega, AL
• Providers in Talladega, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.