Active NPI
Judd Andrew Caudell, PA-C
- Physician Assistant
- High Point, NC
National Provider Identifier
1356484075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4998 | GA | MD | Physician Assistant |
| 001000151 | NC | MD | Physician Assistant |
| 2697 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Chapel Hill, NC
- NPI 1356368708
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.