Candace Haymore Burcham, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

201941 Issued in NC

Practice address

401 Technology LN
Suite 200
Mount Airy, NC 27030-6692

Phone

(336) 789-2922

Fax

(336) 789-0856

NPI assigned

Feb 26, 2007

Last updated

Dec 12, 2017By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cburcham@hcfme.gwaydirect.com
• Direct secure messaging: cburcham@hcwc.gwaydirect.com

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

• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment Care Compare group NPD
• Hugh Chatham Memorial Hospital

  dba Hugh Chatham Behavioral Health

  • Psychiatry Physician
  • Elkin, NC
  • NPI 1740692656
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Hugh Chatham Family Medicine

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1134372477
  NPD (past)
• Hugh Chatham Memorial Hospital, Inc.

  dba Hugh Chatham Urgent Care - Elkin

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1184370389

  Nurse Practitioner

  NPD (past)

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

• Hugh Chatham Memorial Hospital Inc

  • General Acute Care Hospital
  • Elkin, NC
  • NPI 1942361308
  Care Compare affiliation
• Hugh Chatham Memorial Hospital, Inc.

  dba Hugh Chatham Health Family Medicine Residency

  • Family Medicine Physician
  • Elkin, NC
  • NPI 1679428486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1861528820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TECHNOLOGY LN",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270306692",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TECHNOLOGY LN",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270306692",
            "telephone_number": "336-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHAM",
        "first_name": "CANDACE",
        "middle_name": "HAYMORE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201941",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Jon Buchholz, MD
• Mallory Vaughn Bukas
• Matthew Ryan Bullerman, COTA
• Carmellia Thomas Bumgardner, LCSW
• Madeline Riley Buontempo, CRNA
• Catalin Burciu, MD
• Linda A Burk, M.D.
• Cathy Ann Burns, MSN, FNP-BC
• Michelle Renee Butler, FNP-BC
• Stephen Victor Button, D.C.

• Nurse Practitioner in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.