CANDICE GORREMANS


Address: 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314
Phone: 9109083071

CANDICE GORREMANS (NPI# 1093284465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093284465
Entity Type Individual
Full Name CANDICE GORREMANS
Credential PA-C
Practice Address 108th Air Defense Artillery Brigade
Fort Bragg
NC 28314
Mailing Address 3140 Montana Way
Marietta
GA 30066-4070
Practice Telephone 9109083071
Mailing Telephone 3605845149
Enumeration Date 2018-11-15
Last Update Date 2018-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA ID 1153381 01

Office Location

Street Address 108TH AIR DEFENSE ARTILLERY BRIGADE
City FORT BRAGG
State NC
Zip Code 28314

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1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
1073003752 Gooden Mobile Pod Nc Pllc Podiatrist 311 Mcfadyen Dr, Fayetteville, NC 28314 2018-05-17
1093222101 Lauren Bonneau Behavioral Analyst 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 2018-01-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801404496 Matthew Pace Physician Assistant Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 2020-07-20
1477179869 Stephen Aaron Reid Physician Assistant Robinson Clinic, 1722 Tagatay Dr, Fort Bragg, NC 23807 2020-06-22
1013550763 Brent Francis Bachman Physician Assistant 2817 Reilly Street, Fort Bragg, NC 28310 2019-10-25
1225593411 Jordan Lamot Houston Physician Assistant 1-504 Pir, Fort Bragg, NC 28310-0001 2019-02-01
1720551260 Henry Elliott White IIi Physician Assistant 1-319th Far, Fort Bragg, NC 28310-0001 2019-01-08
1275016933 Zarah Pulfrey Physician Assistant Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 2018-09-10
1619454980 Seth David Williams Physician Assistant Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 2018-07-19
1134633894 Ashley Andrick Physician Assistant 1722 Tagatay Dr, Fort Bragg, NC 28307 2017-11-16
1477005270 Brittany Lee Howard Physician Assistant 2864 Woodruff Street, Fort Bragg, NC 28302 2016-10-27
1629435714 John Gagnier Physician Assistant Gruber Road, Building #c-1722, Fort Bragg, NC 28310 2016-01-21
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City FORT BRAGG
Zip Code 28314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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