Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Isabel Roman

Individual provider Nurse Practitioner · NPI 1942085220

Candace Isabel Roman is a Nurse Practitioner in Valdosta, Georgia. Qualified in 2023, 3 years ago. Practices with Care Medical Center LLC, a 28-clinician group. Licensed in Guam.

Years since qualifying
3
Licensed in
GU
In the registry since
2023

Practice location Address checks out

2810 N Oak St
Valdosta, GA 31602-1716
Phone: (229) 259-0019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN269971 (GU)

Record details

NPI number1942085220
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address4400 Ivydale Ct, Valdosta, GA 31602-7632

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Care Medical Center Llc — 28 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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