Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013390244 Deactivated / Inactive NPI Female Practitioner

Candice Cooley , PA-C

Physician Assistant • Memphis, TN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Candice Cooley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2015
NPI Deactivation Date March 13, 2018
Total Practice Duration ~3 Years of Practice (2015 – 2018)

Professional Overview & Biography Verified Profile Summary

Candice Cooley, PA-C was a registered Physician Assistant practicing in Memphis, TN. Throughout an active medical career spanning 3 years, Candice Cooley provided care at the practice location at 1250 FARROW RD until profile deactivation on 2018-03-13.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, psychiatric services complicated by communication factor. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1250 Farrow Rd

Memphis, TN 381167116

Telephone 9013327290
Associated Practice Facility / Clinic
🏢 Graceland Nursing Center, Llc Facility NPI 1063445914

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Memphis, TN (3096 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
30 22 $111.63 $73.25
90785 Psychiatric services complicated by communication factor
17 13 $17.40 $11.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TN 2763

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Elizabeth Frazier

Occupational Therapist

NPI 1225427511

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active October 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2015

Registered at 1250 FARROW RD, MEMPHIS, TN 381167116 (Tel: 9013327290)

📍
Updated Business Mailing Address October 17, 2015

Registered at 1250 FARROW RD, MEMPHIS, TN 381167116

👤
Provider Name / Credentials Updated October 17, 2015

Recorded as CANDICE COOLEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2015

Physician Assistant (License #2763 in TN)

🟢
Initial NPI Registration & Enumeration July 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Candice Cooley. Be the first to share your experience!

Sign in to leave a review for Candice Cooley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013390244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2015
Last Update: October 17, 2015
Deactivation Date: March 13, 2018

Mailing Address

1250 Farrow Rd

Memphis, TN 381167116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.