Individual provider Active NPI

Candace Michele Williams Carmichael, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1982012654
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-108037 Issued in AL
Practice address
3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone
(205) 971-7500
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-108037 AL Primary

Addresses

Primary practice location

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Other names 1

  • Candace Williams Carmichael Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alcv@195.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20141119001060 AL Practitioner - Nurse Practitioner 4082836424 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Nov 1, 2021 Accepting new patients
Affinity Physician Services LLC CurrentSince Dec 1, 2023 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince May 5, 2017 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince May 5, 2017 Accepting new patients
Heart South Cardiovascular Group, P.C. CurrentSince Aug 26, 2014 Accepting new patients

Locations

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

3686 Grandview Pkwy
Birmingham, AL 35243
Phone (205) 595-0419

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: cwilliamscarmichael3361318@wm.providencedirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1982012654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS CARMICHAEL",
        "first_name": "CANDACE",
        "middle_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-108037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3686 Grandview Pkwy Ste 720",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352433408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "CARMICHAEL",
            "middle_name": "WILLIAMS",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.