Randal Caffarel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00019720 Issued in AL

Practice address

717 Arcadia Ave
Decatur, GA 30030-3904

Phone

(251) 454-3823

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1104868769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ARCADIA AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303904",
            "telephone_number": "404-624-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ARCADIA AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303904",
            "telephone_number": "251-454-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFFAREL",
        "first_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.012578",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00019720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCFA PIN/PROVIDER",
            "identifier": "000033728",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Cagle, M.S.
• Thomas Douglas Cain, DPM
• Charelle Lenita Caise, APRN, AGPCNP-BC
• Claudia Calderon, LPC

• Psychiatry Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.