Individual provider Active NPI

Candace Marie Gates, MD

  • Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1790076693
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
74497 Issued in GA
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

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-138527ILMDObstetrics & Gynecology Physician
74497GAMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.