Christopher J Caggiano Sr., PA-C, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102355 Issued in NC

Practice address

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477

Phone

(704) 933-2266

Fax

(704) 933-5954

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cannon Family Medicine

  • Point of Service
  • Kannapolis, NC
  • NPI 1255399374
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639193196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 QUIET CV",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277735",
            "telephone_number": "704-786-1885",
            "fax_number": "704-933-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280834477",
            "telephone_number": "704-933-2266",
            "fax_number": "704-933-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGGIANO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_suffix": "Sr.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015VW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cabarrus County (Cabarrus County Department of Human Services)
• Cabarrus County Group Homes
• Cabarrus Meals on Wheels, Inc
• Cabarrus Medical Transportation LLC
• Cabarrus Pediatric Practice, Inc. (Cabarrus Pediatrics - Kannapolis)
• Ekima Caldwell-Jefferies
• Kelly Calhoun, M.S.P., CCC/SLP
• Amanda Canavan, P-L.C.S.W.
• Candace a Cole,DDS, P.a.
• Cannon Chiropractic PLLC

• Physician Assistant in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.