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

Candace Wilson

Individual provider Emergency Medicine Physician · NPI 1205456217

Candace Wilson is a Family Practice in Pine Bluff, Arkansas. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1601 W 40th Ave Ste 100
Pine Bluff, AR 71603-6069
Phone: (870) 541-6000
Fax: (870) 541-6010
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E-17243 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence E-17243 (AR)

Record details

NPI number1205456217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pine Bluff