MRS. KANDACE DANIELLE BIVENS (PA-C) – Medical Physician Assistant, NPI 1003073990

MRS. KANDACE DANIELLE BIVENS (PA-C) is a healthcare provider. based in Milledgeville, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 1722 (GA). The NPI Number for MRS. KANDACE DANIELLE BIVENS (PA-C) is 1003073990

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KANDACE DANIELLE BIVENS (PA-C)
NPI
1003073990
Phone
(478) 453-9346
Address
800 W THOMAS ST
Enumeration Date
19 May 2008
Last Update Date
2 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4785520001
Graduation Year
2008 (18 years ago)
PAC ID
9739357922
Group Practice PAC ID
5799671855
Professional Enrollment ID
I20110713000688
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. KANDACE DANIELLE BIVENS (PA-C)

  • 800 W THOMAS ST

    MILLEDGEVILLE, GA 310612674

    Phone: (478) 453-9346

    Type: Mailing

  • 501, Sparta Road, North Harris Street Historic District, Sandersville, Washington County, Georgia, 31082, United States

    SANDERSVILLE, GA 310821392

    Phone: (478) 552-0001

    Fax: (478) 552-0048

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $414.

Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($112).

Total Amount

$414

General + Research + Ownership

Payments

21

Total payment records

General Amount

$414

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Salix Pharmaceuticals, a division of Bausch Health US, LLC$112
Lilly USA, LLC$79
Abbott Laboratories$46
GlaxoSmithKline, LLC.$40
Otsuka America Pharmaceutical, Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31061)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799671855View full group profile
NameSpecialtyState
DR. WENTZELLE KIM KITCHENS (M.D.)
Internal MedicineGA
ERIN ASHLEY WILKES (FNP-C)
-GA
MRS. LAYNE HARVEY KITCHENS (N.P.)
Nurse PractitionerGA
KAITLIN CALLAWAY (NP)
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is MRS. KANDACE DANIELLE BIVENS (PA-C) listed with a National Provider Identifier?
Yes — MRS. KANDACE DANIELLE BIVENS (PA-C) has NPI 1003073990 on file in the registry.
Is there an active status for MRS. KANDACE DANIELLE BIVENS (PA-C)?
For scheduling context, MRS. KANDACE DANIELLE BIVENS (PA-C) is shown as active in the registry.
What area of care is associated with MRS. KANDACE DANIELLE BIVENS (PA-C)?
MRS. KANDACE DANIELLE BIVENS (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. KANDACE DANIELLE BIVENS (PA-C) located near Milledgeville?
MRS. KANDACE DANIELLE BIVENS (PA-C) currently maps to Milledgeville, Georgia in this extract.
Can I trust this NPI listing for MRS. KANDACE DANIELLE BIVENS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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