Individual provider Active NPI

Candice Weiner-Johnson, MD

  • Family Medicine Physician
  • Georgetown, TX
National Provider Identifier
1831519826
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8844 Issued in TX
Practice address
908 Rockmoor Dr
Georgetown, TX 78628-8966
Phone
(512) 868-0901
Fax
(512) 868-1527
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8844 TX Primary

Addresses

Primary practice location

908 Rockmoor Dr
Georgetown, TX 78628-8966

Mailing address

908 Rockmoor Dr
Georgetown, TX 78628-8966
Phone (512) 868-0901

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-6632

Other names 1

  • Candice Weiner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191021000587 TX Practitioner - Family Practice 4789989906 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Georgetown, PA Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Oct 9, 2023 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

908 Rockmoor Dr
Georgetown, TX 78628
Phone (512) 868-0901

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27647/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1831519826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINER-JOHNSON",
        "first_name": "CANDICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R8844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "WEINER",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.