Active NPI
Candace Marie Gates, MD
- Gynecology Physician
- Atlanta, GA
National Provider Identifier
1790076693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 74497
- Practice address
- 1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509 - Phone
- (770) 702-0101
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-138527 | IL | |
| Gynecology Physician | 207VG0400X | 74497 | GA | Primary |
Addresses
Primary practice location
1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509
Mailing address
1800 Peachtree St NW Ste 500
Atlanta, GA 30309-2509
Phone (770) 702-0101
Other practice location 1
209 9th St
Rockford, IL 61104
Phone (779) 696-2750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-138527 | IL | MD | Obstetrics & Gynecology Physician |
| 74497 | GA | MD | Gynecology Physician |
Interoperability endpoints
- candace.gates.1@20916.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1790076693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092509",
"telephone_number": "770-702-0101",
"fax_number": "770-702-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092509",
"telephone_number": "770-702-0101"
}
],
"practiceLocations": [
{
"address_1": "209 9th St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "61104",
"country_code": "US",
"telephone_number": "779-696-2750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GATES",
"first_name": "CANDACE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-138527",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "74497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.