T. Daniel Caddell MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12475 Issued in SC

Legal business name

T. DANIEL CADDELL MD

Practice address

907 North Main Street
Travelers Rest, SC 29690

Phone

(864) 834-4191

Fax

(864) 834-1964

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Titus Daniel Caddell, MD,PANPI 1144233735

Title

Doctor

Phone

(864) 834-4191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Titus Daniel Caddell Sr., MD

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1144233735
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225247448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901054",
            "telephone_number": "864-834-4191",
            "fax_number": "864-834-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NORTH MAIN STREET",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-834-4191",
            "fax_number": "864-834-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. DANIEL CADDELL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CADDELL",
        "authorized_official_first_name": "TITUS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-834-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12475",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Olsen Stratton, PHARM. D.
• Jessica T Stubbs, PT
• Laura Latham Styles, RPH
• Katherine Swann, RD
• T. Daniel Caddell (T. Daniel Caddell MD,PA)
• Table Rock Integrated Health and Wellness Practice, LLC.
• Susan Carol Tankersley, LMFT
• Nathan Lee Tate, MSW, LMSW, LCSWA
• Sybil Tezza, FNP
• The Dental Retreat at Mountain Park

• Family Medicine Physician in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.