Candice Jatoya Kemp, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN195591 Issued in GA

Practice address

Judge Thomas Jefferson Loftiss II Rydc
400 South Pinetree Blvd Building 600
Thomasville, GA 31792-7128

Phone

(229) 227-5481

NPI assigned

Dec 9, 2021

Last updated

Dec 9, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1851050660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CLARK ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925675",
            "telephone_number": "229-224-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUDGE THOMAS JEFFERSON LOFTISS II RYDC",
            "address_2": "400 SOUTH PINETREE BLVD BUILDING 600",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927128",
            "telephone_number": "229-227-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "CANDICE",
        "middle_name": "JATOYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN195591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen a. Banks (Advantage Foot Care)
• Alexis Nicole Katz, DO
• Kayla E Kaufman
• Elizabeth Nicole Keen, MA
• William R Kelso II, M.D,
• Ike Manning Kent, P.T.
• Lazanda Kerbo
• Muhammad Ali Niaz Khan, MBBS
• Orooj Bakht Khan, MD
• Shoaib Khan

• Family Nurse Practitioner in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.