Sydney Elise Caudell, NP-C
Individual provider Active NPI Family Nurse Practitioner · Toccoa, GA
NPI 1558091827 · NPPES record last updated Jun 23, 2022
Key facts
- NPI
- 1558091827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN283320 (GA)
- Practice address
- 115 Rock Quarry Rd
Toccoa, GA 30577-8734 - Phone
- (706) 282-5815
- NPI assigned
- Jun 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825000536 | GA | Practitioner - Nurse Practitioner | 3375927304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN283320 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens County Hospital Physician Group, LLC | Current |
Accepting new patients | |
| Stephens County Hospital Physician Group, LLC | Current |
Accepting new patients | |
| Stephens County Hospital Physician Group LLC | Current | Accepting new patients | |
| Stephens County Hospital Physician Group, LLC | Past | Accepting new patients |
Locations
115 Rock Quarry Rd
Toccoa, GA 30577
Phone (706) 282-5815
Interoperability endpoints
- sydney.caudell.1@14936.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN283320 | GA | Yes |
Addresses
Primary practice location
115 Rock Quarry Rd
Toccoa, GA 30577-8734
Mailing address
102 Norton Rd
Eastanollee, GA 30538-3002
Phone (706) 244-2660
Other providers in Toccoa, GA
- Wanda Cape
- Morgan Carter
- Samuel L. Castillo
- Cathy M. Tench, Psy. D., P. C.
- Abbie Wood Caudell
- Center for Wellness and Recovery of Northeast Ga Corporation
- Shannon Chatman
- Scott Edward Chewning
- Donna K Cisson
- Keaton Tyler Clark
All providers in Toccoa, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.