Individual provider Active NPI

Candice Darcy Johnson-Leonard, ANP-C

  • Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1942524913
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004673 Issued in NC
Practice address
2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905
Phone
(336) 713-8900
Fax
(336) 702-9286
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004673 NC Primary

Addresses

Primary practice location

2311 Lewisville Clemmons Rd
Clemmons, NC 27012-8905

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 713-0947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100917000216 NC Practitioner - Nurse Practitioner 5294850913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 753-1555

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Feb 20, 2023 Accepting new patients
Cornerstone Health Care PA CurrentSince Jan 1, 2014 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jan 1, 2014 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Oct 30, 2017 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

2265 Lewisville Clemmons Rd
Ste C
Clemmons, NC 27012
Phone (336) 712-0660

2311 Lewisville Clemmons Rd
Fl 3
Clemmons, NC 27012
Phone (336) 713-8900

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

4505 Falls of Neuse Rd
Ste 650
Raleigh, NC 27609
Phone (919) 877-9959

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270

711 National Hwy
Ste 500
Thomasville, NC 27360
Phone (336) 474-1995

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: cjohnsonleonard2801453@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1942524913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-713-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128905",
            "telephone_number": "336-713-8900",
            "fax_number": "336-702-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-LEONARD",
        "first_name": "CANDICE",
        "middle_name": "DARCY",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.