CANDICE NEWTON WILSON


Address: 3708 Northside Dr, Macon, GA 31210-2404
Phone: 4787454206

CANDICE NEWTON WILSON (NPI# 1902304439) 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) 1902304439
Entity Type Individual
Full Name CANDICE NEWTON WILSON
Credential PT
Practice Address 3708 Northside Dr
Macon
GA 31210-2404
Mailing Address Po Box 6317
Macon
GA 31208-6317
Practice Telephone 4787454206
Enumeration Date 2018-01-30
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT007137 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 300022345A 05

Other Providers CANDICE WILSON

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1609314061 Candice Melody Wilson Nurse Practitioner 1186 Cypress Glen Cir, Kissimmee, FL 34741-7560 2017-02-06
1902282478 Candice Wilson Occupational Therapy Assistant 82824 Crawford Dr, Indio, CA 92201-7491 2015-08-06
1396379004 Candice L Wilson Counselor 11057 Turfgrass Way, Indianapolis, IN 46236-8320 2020-03-03
1326257189 Candice Lynn Wilson Speech-Language Pathologist 97 Preston Rd, Griswold, CT 06351-2516 2007-05-21
1508086935 Candice Wilson Counselor 900 Shugart Rd, Dalton, GA 30720 2007-04-26
1215997028 Candice Lynn Wilson Specialist 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2006-03-24

Office Location

Street Address 3708 NORTHSIDE DR
City MACON
State GA
Zip Code 31210-2404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245236744 Edward Keith Grant Physician Assistant 3708 Northside Dr, Macon, GA 31210-2404 2005-06-21
1295333680 Daniel Braschler Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2020-10-16
1881203958 Bobby Holcumb IIi Physical Therapy Assistant 3708 Northside Dr, Macon, GA 31210-2404 2020-07-24
1184240426 Jenna Walton Nurse Practitioner 3708 Northside Dr, Macon, GA 31210-2404 2020-06-23
1710525886 April Hancock Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-12-19
1942856620 Natalia Busuttil Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-08-17
1689228918 Cameron Tidwell Nurse Practitioner 3708 Northside Dr, Macon, GA 31210-2404 2019-07-25
1255892600 Joshua Beagle Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-03-28
1629536776 Mayur Vishnubhai Patel Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-03-07
1043776891 Lauren Clark Nurse Practitioner 3708 Northside Dr, Macon, GA 31210-2404 2019-02-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1871124735 Jessica Bello Nurse Practitioner 5300 Bowman Road, Macon, GA 31210 2020-01-30
1225505787 Rebekah Hollinshead Occupational Therapist Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 2018-11-01
1346744943 Ace Medical Transport LLC. Ambulance 728 Gay Dr, Macon, GA 31210 2018-03-20
1972965226 Omar Faruk Ahmad Family Medicine 3400 Riverside Drvie, Macon, GA 31210 2016-03-25
1083074868 Macon Dentist Office, PC Dentist 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 2016-03-07
1992176952 Kerisia Wasztyl Marriage & Family Therapist 4691 Pine Valley Dr, Macon, GA 31210 2015-10-15
1073905444 Eunice Malave De Leon Social Worker 174 Spring St, Macon, GA 31210 2015-02-23
1396141545 Axis Surgery Center LLC Clinic/Center 230 Sheraton Blvd, Ste B, Macon, GA 31210 2014-11-17
1073914115 Monique Rechelle Delay Moore Community/Behavioral Health 646 Millrun Court, Macon, GA 31210 2014-09-09
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477512903 Pam Thomasson Physical Therapist 1600 Forsyth St, Macon, GA 31201-1408 2006-03-22
1255892600 Joshua Beagle Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-03-28
1629536776 Mayur Vishnubhai Patel Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2019-03-07
1033634811 Lauren Coleman Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2017-08-14
1518319409 Stephanie Reich Kauzlarich Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2016-07-05
1790136836 Randall Clay Cannon Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2016-06-30
1235371295 Fce-ppd Center Physical Therapist 3040 Riverside Dr, Suite C-5, Macon, GA 31210-2521 2009-04-06
1790745529 Catherine L Hawkins Physical Therapist 1600 Forsyth St, Macon, GA 31201-1408 2006-03-24
1154381960 John T Williamson Physical Therapist 1600 Forsyth St, Macon, GA 31201-1408 2006-03-24
1861452682 Katharine E Nelson Physical Therapist 1600 Forsyth St, Macon, GA 31201-1408 2006-03-24
Find all providers in MACON

Competitor

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City MACON
Zip Code 31210

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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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