KANDIS DANIELLE FORDHAM PA-C
NPI 1417467408
Physician Assistant in Fayetteville, NC
About Kandis Danielle Fordham Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANDIS DANIELLE FORDHAM PA-C (NPI 1417467408) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-07636) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spring Lake, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kandis Danielle Fordham Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kandis Fordham's NPI number?
The NPI number for Kandis Fordham is 1417467408. It was assigned to this individual provider in the NPPES registry on October 4, 2017.
Where is Kandis Fordham located?
Kandis Fordham practices at 556 Sandhurst Dr, Fayetteville, NC 28304. The listed phone number is (910) 483-2646.
What is Kandis Fordham's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kandis Fordham enrolled in Medicare?
Yes. Kandis Fordham is registered in the Medicare PECOS enrollment system.
What insurance does Kandis Fordham accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Kandis Fordham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kandis Fordham was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kandis Danielle Fordham, PA-C · NPI 1417467408
Physician Assistant physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since October 4, 2017.
## Identity
- **NPI:** 1417467408 (Entity type: Individual)
- **Enumerated:** October 4, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-07636 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 556 SANDHURST DR, Fayetteville, NC 28304-4426
- **Phone:** (910) 483-2646
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417467408) · Data from the CMS NPPES public registry.