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MRS. KANDACE DANIELLE BIVENS PA-C
NPI 1003073990
Physician Assistant - Medical in Milledgeville, GA

Active since May 19, 2008PECOS Enrolled
800 W THOMAS ST, MILLEDGEVILLE, GA 31061(478) 453-9346 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2025, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Mrs. Kandace Danielle Bivens Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KANDACE DANIELLE BIVENS PA-C (NPI 1003073990) is an individual medical provider in Milledgeville, Georgia, licensed in Georgia (1722) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003073990
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KANDACE DANIELLE BIVENSCredential: PA-C
Location Address800 W THOMAS STMilledgeville, GA 31061-2674
Mailing Address800 W Thomas StMilledgeville, GA 31061-2674 · (478) 453-9346
Phone(478) 453-9346
Sole ProprietorNo
Enumeration DateMay 19, 2008
Last NPPES UpdateMarch 2, 20253 updates tracked since enumeration
NPPES CertifiedMarch 2, 2025
✔ NPI 1003073990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 1722
800 W THOMAS ST, Milledgeville, GA 31061
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Kandace Danielle Allen Markham Pa-c

Other Identifiers 2

Medicaid899248448AGA
Medicaid899248448BGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kandace Danielle Bivens Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES OLVIN SMITH JR. M.D.
Family Medicine
800 W THOMAS ST
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-9346
ROY WENDELL DEEN M.D.
Family Medicine
800 W THOMAS ST
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-9346
OCONEE FAMILY MEDICINE CENTER, PC
Family Medicine
800 W THOMAS ST
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-9346
RAYMOND WILLIAM DEEN DO
Family Medicine
800 W THOMAS ST
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-9346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandace Bivens's NPI number?

The NPI number for Kandace Bivens is 1003073990. It was assigned to this individual provider in the NPPES registry on May 19, 2008. The provider is also known as Miss Kandace Danielle Allen Markham Pa-C.

Where is Kandace Bivens located?

Kandace Bivens practices at 800 W Thomas St, Milledgeville, GA 31061. The listed phone number is (478) 453-9346.

What is Kandace Bivens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kandace Bivens enrolled in Medicare?

Yes. Kandace Bivens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kandace Bivens was last updated on March 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.