Individual provider Active NPI

Jaime Caldwell, NP-C

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1164013181
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119177 Issued in AL
Practice address
202 Governors Dr SE
Huntsville, AL 35801-2745
Phone
(256) 517-8317
Fax
(256) 715-0058
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-119177 AL Primary

Addresses

Primary practice location

202 Governors Dr SE
Huntsville, AL 35801-2745

Mailing address

27695 Azalea TRL
Athens, AL 35613-5614
Phone (256) 810-7844

Other practice location 1

7500 Highway 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000033 AL Practitioner - Nurse Practitioner 9032584651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quickcare Urgent LLCGroup PAC ID 9032342258, 12 clinicians
QC Wellness LLCGroup PAC ID 0547542995, 12 clinicians

Practice addresses (Care Compare)

202 Governors Dr SE
Huntsville, AL 35801-2745
Phone (256) 517-8317

7500 Hwy 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-119177ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC CurrentSince Apr 18, 2024 Accepting new patients
Quick Care Urgent, LLC CurrentSince Apr 18, 2024 Accepting new patients
Quickcare RX LLC PastSince Feb 7, 2021 Accepting new patients
QC Pharmacy LLC PastSince Apr 18, 2024 Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1164013181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27695 AZALEA TRL",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356135614",
            "telephone_number": "256-810-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317",
            "fax_number": "256-715-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Highway 72 W",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589554",
            "country_code": "US",
            "telephone_number": "256-964-8338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.