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CANDACE BYNUM-OMODUNNI
NPI 1528495330
Counselor - Mental Health in Augusta, GA

Active since October 11, 2013PECOS Enrolled
1394 LANEY WALKER BLVD, AUGUSTA, GA 30901(706) 737-1119(706) 737-1127 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Jun 13, 2024 (2 updates tracked since 2024).

About Candace Bynum-omodunni NPPES

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

CANDACE BYNUM-OMODUNNI (NPI 1528495330) is an individual mental health provider in Augusta, Georgia, licensed in Georgia (APC003982) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528495330
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDACE BYNUM-OMODUNNI
Location Address1394 LANEY WALKER BLVDAugusta, GA 30901-2763
Mailing Address1394 Laney Walker BlvdAugusta, GA 30901-2763
Phone(706) 737-1119
Fax(706) 737-1127
Sole ProprietorNo
Enumeration DateOctober 11, 2013
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1528495330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC003982
1394 LANEY WALKER BLVD, Augusta, GA 30901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candace Bynum-omodunni 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

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

PREFERRED CHOICE
Case Management
1394 LANEY WALKER BLVD
AUGUSTA, GA 30901
Richmond County (706) 951-8423

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 Candace Bynum-omodunni's NPI number?

The NPI number for Candace Bynum-omodunni is 1528495330. It was assigned to this individual provider in the NPPES registry on October 11, 2013.

Where is Candace Bynum-omodunni located?

Candace Bynum-omodunni practices at 1394 Laney Walker Blvd, Augusta, GA 30901. The listed phone number is (706) 737-1119.

What is Candace Bynum-omodunni's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Candace Bynum-omodunni enrolled in Medicare?

Yes. Candace Bynum-omodunni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candace Bynum-omodunni was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.