Jodi Kristen Caldwell, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2529 Issued in GA

Practice address

112 N College St
Statesboro, GA 30458-5309

Phone

(912) 678-9052

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ellen N. Emerson, PHD, LLC

  • Clinical Psychologist
  • Statesboro, GA
  • NPI 1700045937
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2022.

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1508515263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585309",
            "telephone_number": "912-678-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585309",
            "telephone_number": "912-678-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JODI",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "2529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Byrd
• David Cole Byrd, PHARM D
• Jimi Byrnes, MA, LPC
• Benjamin Dane Cahan, MD
• Matthew Harrison Cain, OD
• Valerie Campbell
• Candler Internal Medicine
• Shonna Canicatti, PT
• Alison Cannon
• Shannon Dougherty Canu, LPC

• All providers in Statesboro, GA
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.