Individual provider Active NPI

Candace Whitfield

  • Nurse Practitioner
  • Honea Path, SC
National Provider Identifier
1710307103
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18873 Issued in SC
Practice address
21 S Shirley Ave
Honea Path, SC 29654-1503
Phone
(864) 512-7879
Fax
(864) 512-7037
NPI assigned
Apr 24, 2014
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18873 SC Primary
Adult Medicine Physician 207QA0505X 18773 SC

Addresses

Primary practice location

21 S Shirley Ave
Honea Path, SC 29654-1503

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 369-0552

Other practice location 1

895 Tiger Blvd
Clemson, SC 29631-1480
Phone (864) 512-7257

Other practice location 2

600 N Fant St
Anderson, SC 29621-5704
Phone (864) 512-2000

Other identifiers 3

IdentifierTypeStateIssuer
SC32387482OtherSCMEDICARE
SC32386608OtherMEDICARE
NP2827MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20140715000745 SC Practitioner - Nurse Practitioner 9335364942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, shared by 12 NPIs, 348 clinicians

Practice addresses (Care Compare)

21 S Shirley Ave
Honea Path, SC 29654-1503
Phone (864) 369-0552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18773SCMDAdult Medicine Physician
18873SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince May 21, 2018 Accepting new patients
Anmed Health CurrentSince May 5, 2014 Accepting new patients
Anmed Health CurrentSince Apr 1, 2019 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health CurrentSince May 5, 2014 Accepting new patients
Anmed Health Current Accepting new patients
Anmed Health Nurse Practitioner Past Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

21 S Shirley Ave
Honea Path, SC 29654
Phone (864) 369-0552

6650 Highway 81 N
Piedmont, SC 29673
Phone (864) 512-5910

Interoperability endpoints

  • Direct secure messaging: cwhitfield8235@direct.anmedhealth.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1710307103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-369-0552",
            "fax_number": "864-369-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S SHIRLEY AVE",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541503",
            "telephone_number": "864-512-7879",
            "fax_number": "864-512-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 Tiger Blvd",
            "address_purpose": "LOCATION",
            "city": "Clemson",
            "state": "SC",
            "postal_code": "296311480",
            "country_code": "US",
            "telephone_number": "864-512-7257",
            "fax_number": "864-654-7672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Fant St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296215704",
            "country_code": "US",
            "telephone_number": "864-512-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "CANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18873",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "18773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC32387482",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC32386608",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2827",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honea Path, SC

Sources for this page

Verify at the official NPI Registry.