NPI
Candace S Black
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MSN, APRN, FNP-C
- Type
- Individual
- Enumeration date
- 2015-11-12
- Last updated
- 2024-10-31
Specialties
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
- 363LF0000XNurse Practitioner, Family
Licenses
- License NM
- 80843
- License SD
- CP003390
- License ND
- 200657
- License OR
- 10032702
- License PA
- SP030933
- License SC
- 29273A
- License CT
- 13315
- License MT
- APRN-243461
- License NJ
- 26NJ15119200
- License IL
- 209013253
- License VA
- 0024190378
- License NC
- 5020039
- License WV
- 119837
- License GA
- RN280993
- License AZ
- 314859
Location
- Practice location
- 2738 N Decatur Rd
- City
- Decatur GA
- Postal code
- 30033-5910
- Phone
- (404) 508-8058
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Decatur, GA. 6,675 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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