Kandis Danielle Fordham, PA-C
NPI 1417467408ActiveIndividual· Physician Assistant· Fayetteville, NC
Physician Assistant (PA-C) in Fayetteville, North Carolina, licensed in NC, with an NPI issued in October 2017. Enrolled in Medicare as practitioner - physician assistant. Cranial Technologies, Inc reported $20.50 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1417467408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 4, 2017 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-07636 | NC |
| Family Medicine, Adult Medicine | 207QA0505X | 0010-07636 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
- 2025$20.50 · 1 payment from 1 company
- 2024$56.52 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cranial Technologies, Inc | $20.50 | 1 |
What the 2025 payments were for
- Food and Beverage$20.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 290 physician assistants in Fayetteville · All physician assistants in North Carolina