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CANDACE GREGORY MALONE NP NPI 1023550894


NPI Information

NPI: 1023550894
Provider Name: CANDACE GREGORY MALONE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301
Phone: (864) 560-9627
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Candace Gregory Malone, NP is a family nurse practitioner in Spartanburg, SC with 8 years of experience. Candace Gregory Malone, NP NPI is 1023550894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301-575
Phone: (864) 560-9627
Fax: (864) 562-5470

The NPI 1023550894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 12/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse105935SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily20628SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SC97266084OTHERSOUTH CAROLINAMEDICARE PTAN
2SC9726J577OTHERSOUTH CAROLINAMEDICARE PIN
3SC97266121OTHERSOUTH CAROLINAMEDICARE PIN
4NP4260MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.