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CANDACE FRANCINE CHUMLEY M.D.
NPI 1558892257
Internal Medicine in Macon, GA

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
764 PINE ST, MACON, GA 31201(478) 633-1721(478) 633-2316 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 11, 2024, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Candace Francine Chumley M.d. NPPES

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

CANDACE FRANCINE CHUMLEY M.D. (NPI 1558892257) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (009252) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Northwest Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558892257
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCANDACE FRANCINE CHUMLEYCredential: M.D.
Location Address764 PINE STMacon, GA 31201-2107
Mailing Address764 Pine StMacon, GA 31201-2107 · (478) 633-1721 · Fax (478) 633-2316
Phone(478) 633-1721
Fax(478) 633-2316
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 23, 2017
Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1558892257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 009252✔ Licensed in VA · 0101274873
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
764 PINE ST, Macon, GA 31201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candace Francine Chumley M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325302052
PECOS Enrollment IDI20210115001727, I20230601000004, I20240315000090, I20240716003631
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
293 services116 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
149 services61 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
57 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELISA PRATIMA MOHAN MD
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 301-5824
DR. BYRON ANGELI BROOKS JR. MD
Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1056
DORNER LEE CARMICHAEL PA-C
Physician Assistant
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1696
LISA MARIAN KING M.D.
Obstetrics & Gynecology
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1056
DR. ALEXANDER EDWARD TUNNELL PHARMD
Pharmacist (Ambulatory Care)
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-7397
LAURA MILLER D.O.
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-1721
ERSKINE A JAMES MD
Internal Medicine (Cardiovascular Disease)
764 PINE ST
MACON, GA 31201
Bibb County (478) 633-7045
SUNNY DILIPKUMAR DATTANI DO
Internal Medicine
764 PINE ST
MACON, GA 31201
Bibb County (478) 301-5824

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 Chumley's NPI number?

The NPI number for Candace Chumley is 1558892257. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Candace Chumley located?

Candace Chumley practices at 764 Pine St, Macon, GA 31201. The listed phone number is (478) 633-1721.

What is Candace Chumley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Candace Chumley enrolled in Medicare?

Yes. Candace Chumley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Candace Chumley accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Candace Chumley 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.

Is Candace Chumley affiliated with any hospitals?

According to CMS data, Candace Chumley is affiliated with Hca Florida Northwest Hospital, Doctors Hospital, Memorial Mission Hospital And Asheville Surgery Ce and Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Candace Chumley was last updated on November 11, 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.