Individual provider Active NPI

Candice A Thornton, M.D.

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1922235787
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31842 Issued in SC
Practice address
11402 Anderson Rd
Greenville, SC 29611-7557
Phone
(864) 631-2799
Fax
(864) 522-1215
NPI assigned
Jun 18, 2009
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31842 SC Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 31842 SC
Pediatrics Physician 208000000X 31842 SC

Addresses

Primary practice location

11402 Anderson Rd
Greenville, SC 29611-7557

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone (864) 329-0029

Other identifiers 1

IdentifierTypeStateIssuer
318427MedicaidSC

Other names 1

  • Candice Ann McKearin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cthornton16994@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130826000542 SC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6204091531
I20211014000068 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6204091531 Reassigns benefits to 1 organization
I20241127003182 NC Practitioner - Internal Medicine 6204091531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Urgent Care PLLCGroup PAC ID 1951766799, 10 clinicians

Practice addresses (Care Compare)

1201 Cotton Grove Rd
Lexington, NC 27292-5264
Phone (336) 565-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care Internal Medicine PA Internal Medicine CurrentSince Feb 18, 2022 Accepting new patients
Pinnacle Urgent Care PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1201 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 565-5001

3783 S Lake Forest Dr
Ste 100
McKinney, TX 75070
Phone (972) 808-7111

Interoperability endpoints

  • Direct secure messaging: cthornton16994@direct.ghs.myhfn.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGDECA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1922235787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 ANDERSON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117557",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Scuffletown Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296817204",
            "country_code": "US",
            "telephone_number": "864-329-0029",
            "fax_number": "864-329-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CANDICE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31842",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "SC",
            "license": "31842",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "31842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318427",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthornton16994@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cthornton16994@direct.ghs.myhfn.org",
            "address_1": "11402 Anderson Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296117557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "MCKEARIN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.