Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candace Jackson Moody, PA-C

Individual provider Medical Physician Assistant · NPI 1619332152

Candace Jackson Moody, PA-C is a Physician Assistant in Durham, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2015, 11 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
Trained at
Brody School of Medicine at East Carolina University
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

932 Morreene Rd
Durham, NC 27705-4410
Phone: (919) 668-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1619332152
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2015
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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