Active NPI
David J. Saucedo, NP
- Family Nurse Practitioner
- Athens, GA
National Provider Identifier
1154110096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN199017
- Practice address
- 1088A Baxter St
Athens, GA 30606-6316 - Phone
- (706) 353-0606
- NPI assigned
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN199017 | GA | Primary |
Addresses
Primary practice location
1088A Baxter St
Athens, GA 30606-6316
Mailing address
1360 Caduceus Way
Building 400 Suite 104
Watkinsville, GA 30677
Phone (706) 850-8135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN199017 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1154110096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 CADUCEUS WAY",
"address_2": "BUILDING 400 SUITE 104",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "30677",
"telephone_number": "706-850-8135",
"fax_number": "706-548-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088A BAXTER ST",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066316",
"telephone_number": "706-353-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCEDO",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-06",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN199017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.