Individual provider Active NPI

Candice Marbach, PA

  • Physician Assistant
  • Smyrna, TN
National Provider Identifier
1902439458
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
985 Industrial Blvd
Smyrna, TN 37167-6815
Phone
(908) 500-5173
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

985 Industrial Blvd
Smyrna, TN 37167-6815

Mailing address

985 Industrial Blvd
Smyrna, TN 37167-6815
Phone (908) 500-5173

Other practice location 1

1141 N Old World 3rd St Apt 2208
Milwaukee, WI 53203-1139
Phone (908) 500-5173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220909000508 TN Practitioner - Physician Assistant 0446634539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

2070 Wall St
Spring Hill, TN 37174-4208
Phone (615) 567-8965

355 Pleasant Grove Rd
Suite 1400
Mount Juliet, TN 37122-3942
Phone (615) 773-7933

Merit-based Incentive Payment System (MIPS)

Final score
72.42 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
79.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

985 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-8500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1902439458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 INDUSTRIAL BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676815",
            "telephone_number": "908-500-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 INDUSTRIAL BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676815",
            "telephone_number": "908-500-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 N Old World 3rd St Apt 2208",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532031139",
            "country_code": "US",
            "telephone_number": "908-500-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARBACH",
        "first_name": "CANDICE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.