Fred Welden Caudill, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33800 Issued in NC

Practice address

130 Matthews Station St
Suite 2-B
Matthews, NC 28105-6719

Phone

(704) 846-2833

Fax

(704) 846-1992

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144250663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MATTHEWS STATION ST",
            "address_2": "SUITE 2-B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056719",
            "telephone_number": "704-846-2833",
            "fax_number": "704-846-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MATTHEWS STATION ST",
            "address_2": "SUITE 2-B",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056719",
            "telephone_number": "704-846-2833",
            "fax_number": "704-846-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "FRED",
        "middle_name": "WELDEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "33800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deena M. Castellion, MD
• Brianna Rose Catalano
• Courtney Michelle Caveny, MA, LMFT
• Bintou Ceesay, LMBT
• Ceh
• Center for Wellness, PA
• Michael Anthony Cerasaro II, DO

• Psychiatry Physician in Matthews, NC
• Providers in Matthews, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.