Krystal E Canady, F.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

#F0207110 Issued in GA

Practice address

770 Walnut St
Macon, GA 31201-7307

Phone

(478) 787-4266

Fax

(478) 787-4199

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krystal.canady@fcpc.eclinicaldirectplus.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.

• Georgia Em-I Medical Services. LLC

  • Nurse Practitioner
  • Bremen, GA
  • NPI 1851569560
  Medicare reassignment NPD
• First Choice Primary Care, Inc

  dba FCPC Bruce Elementary SBHC

  • Federally Qualified Health Center (FQHC)
  • Macon, GA
  • NPI 1780480830
  NPD
• First Choice Primary Care, Inc.

  dba First Choice Primary Care, Inc. At Daybreak

  • Federally Qualified Health Center (FQHC)
  • Macon, GA
  • NPI 1558714329
  NPD
• Georgia Em-1 Medical Services PC

  • Nurse Practitioner
  • Dublin, GA
  • NPI 1568614600
  NPD
• Georgia Em-I Medical Services, LLC

  • Nurse Practitioner
  • Covington, GA
  • NPI 1255213005
  NPD
• First Choice Primary Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Warner Robins, GA
  • NPI 1154747590
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1932391349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4363",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WALNUT ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017307",
            "telephone_number": "478-787-4266",
            "fax_number": "478-787-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "KRYSTAL",
        "middle_name": "E",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "#F0207110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Ann Camp, RN, APRN, FNP-C
• Janet Campbell, NP
• Jennifer Silas Campbell, NP
• Tawnya Campbell, NP
• Gwenda Faye Canady, RN
• Candler Road Dental, PC (Franklin Dental & Braces)
• Christopher Douglas Canicatti, PT
• Jennifer Rena Cannon, P.A.-C
• Randall Clay Cannon, PT
• Brandon Cantrell, PA

• Family Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.