Jeremy David Caudill, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1779 Issued in KY

Practice address

333 S 3Rd St
Ste B
Danville, KY 40422-2016

Phone

(859) 236-8730

Fax

(859) 236-4468

NPI assigned

Oct 25, 2012

Last updated

Feb 5, 2014By 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

Enrolled in KY

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Danville Orthopaedics and Sports Medicine PSCGroup PAC ID 3971575515, 10 clinicians

PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ephraim McDowell Regional Medical Center Hospital, Danville, KY, CCN 180048
• Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Danville Orthopaedics & Sports Medicine, PSC

  • Orthopaedic Surgery Physician
  • Danville, KY
  • NPI 1477547073
  Medicare reassignment Care Compare group
• Bluegrass Clinic Liberty, PLLC

  • Family Medicine Physician
  • Liberty, KY
  • NPI 1457555146
  NPD (past)
• Ephraim McDowell Health Resource, Inc

  dba Ephraim McDowell Danville Orthopaedics & Sports Medicine

  • Physician Assistant
  • Danville, KY
  • NPI 1033044359
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ephraim McDowell Regional Medical Center Incorporated

  dba Kids Can Do

  • Rehabilitation Hospital Unit
  • Danville, KY
  • NPI 1639360472
  Care Compare affiliation
• Ephraim McDowell Regional Medical Center Incorporated

  • General Acute Care Hospital
  • Danville, KY
  • NPI 1821135963
  Care Compare affiliation
• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Care Compare affiliation
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1205189404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 3RD ST",
            "address_2": "STE B",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222016",
            "telephone_number": "859-236-8730",
            "fax_number": "859-236-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 3RD ST",
            "address_2": "STE B",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222016",
            "telephone_number": "859-236-8730",
            "fax_number": "859-236-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "JEREMY",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton McKay Case
• Nakita L Castle, M.ED., LPCC
• Audree Karleese Caswell, LPCC
• Michael Tinamisan Catausan, MD
• Christine Catron, LCSW
• Center for Better Living, Inc. (Optimal Health Center, Danville)
• Center for Recovery and Wellness
• Nicole Maria Centers, APRN
• Centerwell Certified Healthcare Corp. (Centerwell Home Health)
• Central Kentucky Interventional Pain Center, PLLC

• Physician Assistant in Danville, KY
• Providers in Danville, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.