Caedel Wellness Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

039177 Issued in GA

Legal business name

CAEDEL WELLNESS CENTER

Practice address

101 Devant St Ste 803
Fayetteville, GA 30214-2716

Phone

(678) 216-0342

Fax

(678) 216-0348

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Claire K Willie, M.D.

Title

C.E.O

Phone

(678) 216-0432

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1306085402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302140009",
            "telephone_number": "678-216-0342",
            "fax_number": "678-216-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 803",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142716",
            "telephone_number": "678-216-0342",
            "fax_number": "678-216-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAEDEL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "WILLIE",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "678-216-0432",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "039177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C H Martin Company
• Denny Cabo, FNP
• Gina Lee Cabrera-Benson, M.A., CCC-SLP
• Debbra Holder Caddell, LMT
• McArthur Cadet, MD
• Teresa Cagle
• Michele Lyn Caldwell, NP
• Christopher Calvin
• Camp Creek Pediatrics
• Doris Johanna Campanelli, CNM

• Internal Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.