Individual provider Active NPI

Candace Paige Hollis, FNP-C

  • Family Nurse Practitioner
  • Sheffield, AL
National Provider Identifier
1861152290
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-001324 Issued in AL
Practice address
1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone
(256) 383-4447
Fax
(256) 381-7999
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12210636 TN
Family Nurse Practitioner 363LF0000X 31027 TN
Family Nurse Practitioner 363LF0000X 3-001324 AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773

Mailing address

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Other practice location 1

531 Highway 64 W
Waynesboro, TN 38485-2355
Phone (931) 253-8146

Other practice location 2

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

Other practice location 3

3500 Cloverdale Rd
Florence, AL 35633-1302
Phone (256) 284-7706

Other practice location 4

2735 Cloverdale Rd
Florence, AL 35633-1402
Phone (256) 415-4005

Other identifiers 1

IdentifierTypeStateIssuer
F12210636OtherTNAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220503001348 TN Practitioner - Nurse Practitioner 4284021601 Reassigns benefits to 1 organization
I20240219003892 AL Practitioner - Nurse Practitioner 4284021601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of the Shoals, P.C.Group PAC ID 1456317833, 24 clinicians

Practice addresses (Care Compare)

1120 S Jackson Hwy
Suite 300
Sheffield, AL 35660-5773
Phone 2563834447104

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12210636TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Family Urgent Care, Inc CurrentSince May 25, 2025 Accepting new patients
Medical Associates of the Shoals, P.C. CurrentSince Apr 9, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 27, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 27, 2023 Accepting new patients
Northwest Alabama Radiology Associates LLC PastSince Apr 1, 2025 Accepting new patients

Locations

2735 Cloverdale Rd
Florence, AL 35633
Phone (256) 415-4005

3515 Cloverdale Rd
Florence, AL 35633
Phone (256) 284-7706

351 Highway 64
Killen, AL 35645
Phone (256) 272-8066

343 Highway 72
Killen, AL 35645
Phone (256) 284-7706

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

1106 N Cave St
Tuscumbia, AL 35674
Phone (256) 386-0558

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1861152290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447",
            "fax_number": "256-381-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Highway 64 W",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "TN",
            "postal_code": "384852355",
            "country_code": "US",
            "telephone_number": "931-253-8146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Cloverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331302",
            "country_code": "US",
            "telephone_number": "256-284-7706",
            "fax_number": "256-284-7711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Cloverdale Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356331402",
            "country_code": "US",
            "telephone_number": "256-415-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "CANDACE",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F12210636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F12210636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.