Individual provider Active NPI

Jerimie Christopher Caudill, FNP-C

  • Family Nurse Practitioner
  • Kill Devil Hills, NC
National Provider Identifier
1427736289
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5024233 Issued in NC
Practice address
3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Phone
(252) 261-9940
NPI assigned
Jul 10, 2023
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5024233 NC Primary

Addresses

Primary practice location

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200

Mailing address

1190 Burnside Road
Manteo, NC 27954-9810
Phone (804) 305-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002177 VA Practitioner - Nurse Practitioner 5597115451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Healthcare of Central Virginia IncGroup PAC ID 9234118340, 34 clinicians

Practice addresses (Care Compare)

1051 Johnston Willis Dr
Suite 200
North Chesterfield, VA 23235-4871
Phone (804) 320-2705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
73.52
Promoting interoperability
99
Improvement activities
40
Cost
75.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07230354VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Healthcare of Central Virginia Inc CurrentSince May 30, 2024 Accepting new patients
Chippenham and Johnston-Willis Sports Medicine, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1051 Johnston Willis Dr
Ste 200
North Chesterfield, VA 23235
Phone (804) 320-2705

1115 Boulders Pkwy
Ste 110
North Chesterfield, VA 23225
Phone (804) 560-6500

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7101 Jahnke Rd
Ste 200
Richmond, VA 23225
Phone (804) 483-1270

Interoperability endpoints

  • Direct secure messaging: jerimie.caudill@hca6.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1427736289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BURNSIDE ROAD",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549810",
            "telephone_number": "804-305-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 N CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489200",
            "telephone_number": "252-261-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "JERIMIE",
        "middle_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5024233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kill Devil Hills, NC

Sources for this page

Verify at the official NPI Registry.