Individual provider Active NPI

Candace Leigh Griffith, LMFT

  • Marriage & Family Therapist
  • Warner Robins, GA
National Provider Identifier
1679961478
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001020 Issued in GA
Practice address
402 Corder Rd Ste 200
Warner Robins, GA 31088-7165
Phone
(478) 551-4714
Fax
(478) 551-4718
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001020 GA Primary

Addresses

Primary practice location

402 Corder Rd Ste 200
Warner Robins, GA 31088-7165

Mailing address

402 Corder Rd Ste 200
Warner Robins, GA 31088-7165
Phone (478) 551-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603000176 GA Practitioner - Marriage and Family Therapist 2062983893 Practice locations: Macon, GA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Mercer University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 N Ave
Macon, GA 31211-1418
Phone (478) 475-4608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT001020GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Community Service Board PastSince Jan 19, 2020 Accepting new patients
Family Counseling Center of Central Ga., Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1679961478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 CORDER RD STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887165",
            "telephone_number": "478-551-4714",
            "fax_number": "478-445-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 CORDER RD STE 200",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887165",
            "telephone_number": "478-551-4714",
            "fax_number": "478-551-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "CANDACE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.