Candace Fugate, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101057927 Issued in VA

Practice address

3914 Centreville Rd Ste 101
Chantilly, VA 20151-3289

Phone

(703) 481-8600

Fax

(703) 481-8618

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: candacefugate@tpedg.allscriptsdirect.net
• Direct secure messaging: candace.fugate@tpgp.eclinicaldirectplus.com

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.

• The Pediatric Group, PC

  • Pediatric Adolescent Medicine Physician
  • Alexandria, VA
  • NPI 1922162205
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1689632028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "703-481-8600",
            "fax_number": "855-308-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD STE 101",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "703-481-8600",
            "fax_number": "703-481-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGATE",
        "first_name": "CANDACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101057927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6714463",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6733999",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friends Physical Therapy and Wellness, LLC
• Irene Fosuaa Frimpong, RN
• Rowmel Ashley Frison
• Frontier Integrative Medicine LLC
• Marie Fuanya
• Gaku Fujiyama
• G. Michael Lynch, M.D., P.C. (Franklin Farm Family Medicine)
• Kevin Ndegwa Gachigua
• Melissa Raquel Gaitan
• Chase Michael Gaitens

• Pediatrics Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.