Active NPI
Domineke Cannida
- Social Worker
- Sandersville, GA
National Provider Identifier
1881408490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 285 Fordham LN
Sandersville, GA 31082-3960 - Phone
- (478) 232-6459
- NPI assigned
- Feb 4, 2025
- Last updated
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
285 Fordham LN
Sandersville, GA 31082-3960
Mailing address
285 Fordham LN
Sandersville, GA 31082-3960
Phone (478) 232-6459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1881408490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 FORDHAM LN",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310823960",
"telephone_number": "478-232-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 FORDHAM LN",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310823960",
"telephone_number": "478-232-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNIDA",
"first_name": "DOMINEKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandersville, GA
- Joshua O. Brannen III, PHARMD
- Brittany Moment, Rd LLC (The PCOS Cysta)
- Kaitlyn Brooks, OTR/L
- Burke Hospital Company (Washington County Physician Specialty Clinic)
- Kaitlin Callaway, NP
- Caremore Counseling Center, LLC
- Lindsay Ivey Carter, PHARM.D.
- Kimberly Casto, M.ED. CCC SLP
- Champion Pediatric Therapy of Georgia
- Children's Healthcare Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.