Organization Active NPI

Caudle Capital LLC

Doing business as Atlanta Med Supplies

  • Durable Medical Equipment & Medical Supplies
  • Cocoa Beach, FL
National Provider Identifier
1386451060
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAUDLE CAPITAL LLC
Doing business as
Atlanta Med Supplies
Practice address
1980 N Atlantic Ave Ste 225
Cocoa Beach, FL 32931-3282
Phone
(321) 493-3547
NPI assigned
Dec 16, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Chase CaudleNPI 1164239836
Title
President
Phone
(321) 368-0319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1980 N Atlantic Ave Ste 225
Cocoa Beach, FL 32931-3282

Mailing address

1980 N Atlantic Ave Ste 225
Cocoa Beach, FL 32931-3282
Phone (321) 493-3547

Other identifiers 1

IdentifierTypeStateIssuer
05MedicaidFL

Other names 1

  • Atlanta Med Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

1980 N Atlantic Ave
Ste 225
Cocoa Beach, FL 32931
Phone (321) 493-3547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1386451060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE STE 225",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313282",
            "telephone_number": "321-493-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE STE 225",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313282",
            "telephone_number": "321-493-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUDLE CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-368-0319"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Med Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.