Candra Lanette Mack, M.D.
Candra Lanette Mack is a Pediatrics Physician provider (Pediatrics) practicing in Covington, GA, registered in the NPPES registry with NPI 1487703153 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487703153 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Candra Lanette Mack |
| Credential | M.D. |
| Sex | Female |
| Practice address | 4152 BAKER STREET, NE, Covington, GA, 30014 |
| Phone | 7707881077 |
| Fax | 7708059329 |
| Enumeration date | 2007-01-10 |
| Last updated in NPPES | 2023-03-07 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | TRN8908 | FL |
| 208000000X | Pediatrics Physician | Primary | 61000 | GA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061000 | Other | GA | MEDICAL LICENSE |
| 510091718A | Medicaid | GA | — |
Copy-ready billing details
Provider: Candra Mack, M.D. NPI: 1487703153 Taxonomy: 208000000X (Pediatrics Physician) Address: 4152 BAKER STREET, NE, Covington, GA, 30014
Verify this record
Cross-check NPI 1487703153 against the authoritative CMS record: view Candra Lanette Mack on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.