Candes Lynne Dotson, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DO1216 Issued in AL

Practice address

3929 Airport Blvd Ste 3-300
Mobile, AL 36609-2235

Phone

(251) 444-5868

NPI assigned

Jun 15, 2010

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Azalea Behavioral Health PC

  • Psychiatry Physician
  • Mobile, AL
  • NPI 1063971091
  NPD (past) Authorized official

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1861713703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 3-300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092235",
            "telephone_number": "251-444-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 3-300",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092235",
            "telephone_number": "251-444-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "CANDES",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135935",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135726",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandolyn Dortch, LPC
• Jasma Dortch, CRNP
• Mikell Dortch
• Neel Ajit Doshi, MD
• Andrea Dossett, RD, LD
• Randy Gene Dotson, MD
• Allison Beull Douglas, M.D.
• Mark Jason Douglas, M.D.
• Kendall Sawyer Douglass, MD
• Lorrie Evans Dovin, RN, CDCES

• Psychiatry Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.