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DR. CANDICE NICOLE CLAIBORNE PHD
NPI 1851605083
Psychologist - Clinical in Rome, GA

Active since July 29, 2010PECOS Enrolled
701 BROAD ST STE 350, ROME, GA 30161(706) 295-2028(706) 295-2062 Get Directions Write a Review

NPPES record last updated: February 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2019, Mar 17, 2016, Dec 5, 2015 (3 updates tracked since 2015).

About Dr. Candice Nicole Claiborne Phd NPPES

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

DR. CANDICE NICOLE CLAIBORNE PHD (NPI 1851605083) is an individual clinical provider in Rome, Georgia, licensed in Georgia (PSY003955) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Suwanee.

NPPES Registry Identity

NPI1851605083
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CANDICE NICOLE CLAIBORNECredential: PHD
Location Address701 BROAD ST STE 350Rome, GA 30161-3092
Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (706) 295-5331
Phone(706) 295-2028
Fax(706) 295-2062
Sole ProprietorNo
Enumeration DateJuly 29, 2010
Last NPPES UpdateFebruary 21, 20193 updates tracked since enumeration
✔ NPI 1851605083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY003955
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
701 BROAD ST STE 350, Rome, GA 30161
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Secondary Practice Location 1

Location 14000 Smithtown Rd Ste 200Suwanee, GA 30024-6560 · Phone (470) 632-4990 · Fax (317) 520-8200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Candice Nicole Claiborne Phd 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.

Medicare Billing Reassignment

Medicare enrollment records show Candice Claiborne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
53 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30161 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
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 4

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

RANDELL LEON ELKINS JR. PHD
Psychologist (Clinical)
701 BROAD ST STE 350
ROME, GA 30161
Floyd County (706) 295-2028
KATHERINE MICHELLE SCHAEKEL LCSW
Social Worker (Clinical)
701 BROAD ST STE 350
ROME, GA 30161
Floyd County (762) 235-3640
FRANK ROCKWELL HARBIN PHD
Psychologist (Clinical)
701 BROAD ST STE 350
ROME, GA 30161
Floyd County (706) 295-2028
EAMON O DOWLING LCSW
Social Worker (Clinical)
701 BROAD ST STE 350
ROME, GA 30161
Floyd County (762) 235-3640

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 Candice Claiborne's NPI number?

The NPI number for Candice Claiborne is 1851605083. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Candice Claiborne located?

Candice Claiborne practices at 701 Broad St Ste 350, Rome, GA 30161. The listed phone number is (706) 295-2028.

What is Candice Claiborne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Candice Claiborne enrolled in Medicare?

Yes. Candice Claiborne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Candice Claiborne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Candice Claiborne reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candice Claiborne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Candice Claiborne was last updated on February 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.