Individual provider Active NPI

Jason Daniel Caudell, NP-C

  • Family Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1447548698
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN154971 Issued in GA
Practice address
204 Dawson Village Way S
Dawsonville, GA 30534-5629
Phone
(770) 268-4360
Fax
(470) 251-6066
NPI assigned
Jul 20, 2011
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 RN154971 GA Primary

Addresses

Primary practice location

204 Dawson Village Way S
Dawsonville, GA 30534-5629

Mailing address

PO Box 746765
Atlanta, GA 30374-6765
Phone (770) 914-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110817000161 GA Practitioner - Nurse Practitioner 3173792769 Reassigns benefits to 2 organizations
I20160919000754 ME Practitioner - Nurse Practitioner 3173792769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

204 Dawson Village Way S
Dawsonville, GA 30534-5629
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC Current Accepting new patients
Minuteclinic LLC Family CurrentSince Jul 18, 2011 Accepting new patients
Aylo Health, LLC CurrentSince Nov 1, 2024 Accepting new patients
Healthreach Community Health Centers CurrentSince Sep 10, 2021 Accepting new patients
Aylo Health, LLC CurrentSince Nov 1, 2024 Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016

8111 Ball Ground Hwy
Ball Ground, GA 30107
Phone (770) 268-4011

204 Dawson Village Way S
Dawsonville, GA 30534
Phone (706) 216-2101

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

177 N Main St
Strong, ME 04983
Phone (207) 684-3045

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1447548698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746765",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746765",
            "telephone_number": "770-914-0116",
            "fax_number": "770-955-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DAWSON VILLAGE WAY S",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345629",
            "telephone_number": "770-268-4360",
            "fax_number": "470-251-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.