Individual provider Active NPI

Candace Nicole Clemmons, MD

  • Internal Medicine Physician
  • Geneva, AL
National Provider Identifier
1740926203
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47877 Issued in AL
Practice address
100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200
Phone
(334) 684-8905
Fax
(334) 684-8908
NPI assigned
May 9, 2022
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47877 AL Primary

Addresses

Primary practice location

100 W Lake Professional Park Ste 3
Geneva, AL 36340-1200

Mailing address

1414 Elba Hwy
Troy, AL 36079-6020
Phone (334) 670-6726

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016004896 AL Practitioner - Family Practice 5092202556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 W Lake Professional Park
Suite 3
Geneva, AL 36340-1200
Phone (334) 684-8905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47877ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Alabama Rural Health Associates CurrentSince Oct 1, 2025 Accepting new patients
Southeast Alabama Rural Health Associates CurrentSince Oct 1, 2025 Accepting new patients
Southeast Alabama Rural Health Associates Current Accepting new patients
Southeast Alabama Rural Health Associates Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

100 W Lake Professional Park
Ste 3
Geneva, AL 36340
Phone (334) 684-2281

1412 Elba Hwy
Troy, AL 36079
Phone (334) 288-0814

1414 Elba Hwy
Troy, AL 36079
Phone (334) 670-6726

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFGBD

Organizations & group practices 5

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 1

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1740926203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ELBA HWY",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360796020",
            "telephone_number": "334-670-6726",
            "fax_number": "334-670-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W LAKE PROFESSIONAL PARK STE 3",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401200",
            "telephone_number": "334-684-8905",
            "fax_number": "334-684-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "47877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

Sources for this page

Verify at the official NPI Registry.