Individual provider Active NPI

Caroline McDowell Hydrick, APRN

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1316723299
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN337229 Issued in GA
Practice address
3755 Sixes Rd Ste 300
Canton, GA 30114-7848
Phone
(706) 692-9768
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN337229 GA Primary
Registered Nurse 163W00000X RN337229 GA

Addresses

Primary practice location

3755 Sixes Rd Ste 300
Canton, GA 30114-7848

Mailing address

5107 Forrest Walk
Roswell, GA 30075-4091
Phone (706) 490-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN337229GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Jasper, PC CurrentSince Nov 18, 2025 Accepting new patients
Rural Primary Care South-Walton, Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

3755 Sixes Rd
Ste 300
Canton, GA 30114
Phone (770) 928-7404

102 Springfield Center Dr
Woodstock, GA 30188

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1316723299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 FORREST WALK",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754091",
            "telephone_number": "706-490-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 SIXES RD STE 300",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147848",
            "telephone_number": "706-692-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDRICK",
        "first_name": "CAROLINE",
        "middle_name": "MCDOWELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN337229",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN337229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.