Claire K Willie (NPI# 1790711141, PAC ID# 6608764550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790711141 |
| PAC ID by PECOS | 6608764550 |
| Professional Enrollment ID | I20040310000988 |
| Full Name | Claire K Willie |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Address |
101 Devant St Suite 803 Fayetteville GA 30214-2716 |
| Phone Number | 6782160342 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0648258988 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 | 6782160342 | CAEDEL MEDICAL GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 84% | |
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 84% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 81% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 81% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 80% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 84% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 84% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 99% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CAEDEL MEDICAL GROUP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Itauma Udosen | Family Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| Lulu Sherrie Mitchell | Physician Assistant | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| James Oliviere Jr. | Family Medicine | Caedel Medical Group | 1324 Hwy 138, Riverdale, GA 30296-1404 |
| Street Address |
101 DEVANT ST SUITE 803 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-2716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Itauma Udosen | Family Medicine | Caedel Medical Group | 101 Devant St, Suite 803, Fayetteville, GA 30214-2716 |
| Linda M Foltz | Psychologist, Clinical | 101 Devant St, Suite 903, Fayetteville, GA 30214-2718 | |
| Mercedes Merritt Williams | Psychologist, Clinical | Populations and Interventions Team Company | 101 Devant St, Suite 504, Fayetteville, GA 30214-2720 |
| Ginari G Price | Psychiatry | 101 Devant St, Suite 504, Fayetteville, GA 30214-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FAYETTEVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Claire K Willie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.