Candy Holder McCall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9600617 Issued in NC

Practice address

2603 Davie Ave
Statesville, NC 28625-8256

Phone

(704) 873-6515

Fax

(704) 873-6508

NPI assigned

Oct 22, 2007

Last updated

Sep 23, 2019By 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 TN

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.

• Collins Family & Addiction Medicine, PLLC

  dba Blissful Addiction Recovery

  • Family Medicine Physician
  • Hermitage, TN
  • NPI 1457983546
  Medicare reassignment NPD

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1780873240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280362530",
            "telephone_number": "704-997-5525",
            "fax_number": "704-997-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258256",
            "telephone_number": "704-873-6515",
            "fax_number": "704-873-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "CANDY",
        "middle_name": "HOLDER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "9600617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee White Mayberry, RN
• Shaykila Mayes, RMA
• Sandra Lourdes Mayta, LCMHC, NCC
• Joseph C. Mazzola, D.O.
• Erin Langdon McAdams, LCMHCS, LCAS, CCS
• Christin McCall
• Duncan Alexander McCall, M.D.
• Deyon A McCalla, DMD
• Courtney McCarthy, MA/CAS
• Rebekah Jordan McCarthy, FNP

• Family Nurse Practitioner in Statesville, NC
• Providers in Statesville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.