CASEY CADDELL (NPI# 1457775819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457775819 |
| Entity Type | Individual |
| Full Name | CASEY CADDELL |
| Credential | CRNP |
| Practice Address |
80 Jesse Hill Jr Drive Atlanta GA 30368-1334 |
| Mailing Address |
4401 Penn Ave Pittsburgh PA 15224-1334 |
| Practice Telephone | 4047785000 |
| Mailing Telephone | 4128649175 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN150105 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP009882 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4401 Penn Ave, Pittsburgh, PA 152241334 | 4128649175 |
| Street Address |
80 JESSE HILL JR DRIVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30368-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340754 | Frederick Bright | Obstetrics & Gynecology | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2005-10-19 |
| 1750912143 | Judith Michele Eisenberg | Emergency Medicine | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2020-02-04 |
| 1659892727 | Janet M Salimonu | Nurse Practitioner | 80 Jesse Hill Jr Drive, Grady Health System - Sickle Cell Center, Atlanta, GA 30303 | 2017-06-29 |
| 1083974091 | Phaedra Nekhole Mclaughlin | Pharmacy Technician | 80 Jesse Hill Jr Drive, Room Bg002, Atlanta, GA 30303 | 2012-05-23 |
| 1538490362 | Gowri Nagarajan | Physician Assistant | 80 Jesse Hill Jr Drive, Atlanta, GA 30004-4462 | 2010-01-19 |
| 1497964670 | Fatema Shirin | Dietitian, Registered | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2007-05-22 |
| 1629199559 | Dale Andrew Wilmot | Obstetrics & Gynecology | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2007-04-02 |
| 1710919451 | Cary S Stone | Nurse Practitioner | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-07-06 |
| 1851328512 | Sheila C Goel | Pediatrics | 80 Jesse Hill Jr Drive, Atlanta, GA 30303 | 2006-06-27 |
| 1063452381 | Emory Medical Care Foundation Inc | Anesthesiology | 80 Jesse Hill Jr Drive, Emcf, Atlanta, GA 30303 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919675 | Robert Hewgley | Physical Therapist | 600 Asbury Cir, Atlanta, GA 30368-0001 | 2006-11-16 |
| 1164970067 | Kaitlin Kamm | Anesthesiologist Assistant | 5665 Peachtree Dunwoody Rd, Atlanta, GA 30368-1701 | 2016-09-20 |
| 1275512329 | Nana Kwadwo Britwum | Internal Medicine | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30368-2321 | 2006-01-16 |
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1487290581 | Fawn Aryana Hastay | Nurse Practitioner | 1400 Tullie Rd Ne Fl 6, Atlanta, GA 30329-2309 | 2019-11-23 |
| 1245798057 | Rebecca Emory | Nurse Practitioner | 975 Johnson Ferry Rd Ste 340, Atlanta, GA 30342-4735 | 2019-03-11 |
| 1497265904 | Stephanie Edlhuber | Nurse Practitioner | 1100 Lake Hearn Dr Ste 100, Atlanta, GA 30342-1524 | 2017-10-10 |
| 1275074924 | Anna Louise Kelly | Nurse Practitioner | 993 Johnson Ferry Rd # 440, Atlanta, GA 30342-1620 | 2017-03-14 |
| 1518410984 | Brie Batchelor Baxter | Nurse Practitioner | 5461 Meridian Marks Rd, Suite 200, Atlanta, GA 30342 | 2016-08-02 |
| 1649630310 | Mary Bertossi | Nurse Practitioner | 1800 Howell Mill Rd Nw Ste 475, Atlanta, GA 30318-0920 | 2016-02-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.