Individual provider Active NPI

Claudine Caesar, FNP-BC

  • Family Nurse Practitioner
  • Ellenwood, GA
National Provider Identifier
1467967497
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN152171 Issued in GA
Practice address
211 Fairview Rd
Ellenwood, GA 30294-2721
Phone
(770) 997-5714
Fax
(770) 997-5728
NPI assigned
Dec 13, 2017
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN152171 GA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN152471 GA

Addresses

Primary practice location

211 Fairview Rd
Ellenwood, GA 30294-2721

Mailing address

3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (470) 615-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180613001773 GA Practitioner - Nurse Practitioner 5890040992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

1100 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

1108 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

1502 W 3Rd St
Suite a
Jackson, GA 30233-1979
Phone (770) 914-0116

211 Fairview Rd
Ellenwood, GA 30294-2721
Phone (770) 914-0116

50 Kelly Rd
Suite 200
McDonough, GA 30253-6097
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN152471GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC Current Accepting new patients
Aylo Health, LLC CurrentSince Jan 2, 2018 Accepting new patients
Aylo Health, LLC CurrentSince Jan 2, 2018 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

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

211 Fairview Rd
Ellenwood, GA 30294
Phone (678) 289-6747

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

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

Interoperability endpoints

  • Direct secure messaging: claudine.caesar@elfp.eclinicaldirectplus.com

Organizations & group practices 5

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1467967497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 RIVERWOOD PKWY SE STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393304",
            "telephone_number": "470-615-3389",
            "fax_number": "770-955-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942721",
            "telephone_number": "770-997-5714",
            "fax_number": "770-997-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAESAR",
        "first_name": "CLAUDINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN152171",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN152471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

Verify at the official NPI Registry.