Candice Brooke Shows

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

903165 Issued in MS

Practice address

104 Partnership Way
Columbia, MS 39429-4502

Phone

(601) 736-6443

Fax

(601) 736-2543

NPI assigned

Jan 19, 2019

Last updated

Feb 21, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Marion County Internal Medicine Clinic

  • Internal Medicine Physician
  • Columbia, MS
  • NPI 1346369519
  Medicare reassignment NPD

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613865600000",
    "number": "1740754027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARTNERSHIP WAY",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394294502",
            "telephone_number": "601-736-6443",
            "fax_number": "601-736-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARTNERSHIP WAY",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394294502",
            "telephone_number": "601-736-6443",
            "fax_number": "601-736-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOWS",
        "first_name": "CANDICE",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sav-on-Drugs of Columbia, Inc (Sav-On-Drugs, Inc)
• Michael Schepemaker, FNP
• Scott's Family Fitness & Physical Therapy
• Minnie Shirley
• Candace Shol, RN
• Angela Simon, MAOD
• Tiara Sims
• Tandy Sinclair, SLP
• Deidria Smith, RN
• Oscar A Smith, OD

• Nurse Practitioner in Columbia, MS
• Providers in Columbia, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.