Individual provider Active NPI

Judd Andrew Caudell, PA-C

  • Physician Assistant
  • High Point, NC
National Provider Identifier
1356484075
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000151 Issued in NC
Practice address
501 East Greene Street
Guilford County Health Department
High Point, NC 27260
Phone
(336) 641-7688
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2697 SC
Physician Assistant 363A00000X 001000151 NC Primary
Physician Assistant 363A00000X 4998 GA

Addresses

Primary practice location

501 East Greene Street
Guilford County Health Department
High Point, NC 27260

Mailing address

501 East Greene Street
Guilford County Health Department
High Point, NC 27260
Phone (336) 641-7688

Other practice location 1

735 McMillan Rd
Clemson, SC 29634-4054
Phone (864) 656-2233

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4998GAMDPhysician Assistant
001000151NCMDPhysician Assistant
2697SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Health Services Past Accepting new patients

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1356484075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EAST GREENE STREET",
            "address_2": "GUILFORD COUNTY HEALTH DEPARTMENT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-641-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EAST GREENE STREET",
            "address_2": "GUILFORD COUNTY HEALTH DEPARTMENT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-641-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 MCMILLAN RD",
            "address_purpose": "LOCATION",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296344054",
            "country_code": "US",
            "telephone_number": "864-656-2233",
            "fax_number": "864-656-0760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "JUDD",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2697",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000151",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "4998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.