MS. CANDACE PRIDDY PA-C
NPI 1922348689
Physician Assistant - Medical in Little Rock, AR

Active since February 18, 2013PECOS Enrolled
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Candace Priddy Pa-c NPPES

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

MS. CANDACE PRIDDY PA-C (NPI 1922348689) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (PA-512) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dumas.

NPPES Registry Identity

NPI1922348689
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. CANDACE PRIDDYCredential: PA-C
Location Address4301 W MARKHAM ST # 783Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000
Sole ProprietorNo
Enumeration DateFebruary 18, 2013
Last NPPES UpdateOctober 5, 2020
NPPES CertifiedOctober 5, 2020
NPI 1922348689 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
Licenses Licensed in AR · PA-512 Licensed in AR · PT1310
4301 W MARKHAM ST # 783, Little Rock, AR 72205

Other Names 1

Professional Name (2)Ms. Candace Miles-priddy Pa-c

Secondary Practice Location 1

Location 1811 Highway 65 SDumas, AR 71639-3006 · Phone (870) 382-4303 · Fax (870) 382-6555

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)

Ms. Candace Priddy 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 20

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

Neurological Surgery
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Surgery
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Psychiatry & Neurology (Psychiatry)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Physician Assistant (Medical)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Radiology (Body Imaging)
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205
Physical Medicine & Rehabilitation
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922348689, enumerated as an "individual" on February 18, 2013.

The provider is located at 4301 W MARKHAM ST # 783 LITTLE ROCK, AR 72205 and the phone number is (501) 686-8000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.