Active NPI
Jason Daniel Caudell, NP-C
- Family Nurse Practitioner
- Dawsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN154971
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Current | Accepting new patients | |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Aylo Health, LLC | Current | Accepting new patients | |
| Healthreach Community Health Centers | Current | Accepting new patients | |
| Aylo Health, LLC | Current | 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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
dba Strong Area Health Center
- Federally Qualified Health Center (FQHC)
- Strong, ME
- NPI 1417921776
-
dba Bingham Area Health Center
- Federally Qualified Health Center (FQHC)
- Bingham, ME
- NPI 1942273727
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.