Casey Salcedo
Individual provider Active NPI Family Nurse Practitioner · Royston, GA
NPI 1699324707 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1699324707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN184724 (GA)
- Practice address
- 132 Franklin Springs St Ste a
Royston, GA 30662-4134 - Phone
- (706) 621-7575
- Fax
- (833) 305-0340
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Reddy Medical Group LLC
Practice addresses (Care Compare)
132 Franklin Springs St
Suite a
Royston, GA 30662-4134
Phone (706) 621-7575
Hospital & facility affiliations
- Ty Cobb Regional Medical Center, LLC
- St Mary'S Hospital
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 |
|---|---|---|---|---|
| I20200127002142 | GA | Practitioner - Nurse Practitioner | 0244524981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Medical Group LLC | Family | Current |
Accepting new patients |
| Reddy Urgent Care - Royston LLC | Current |
Accepting new patients |
Locations
1061 Dowdy Rd
Ste 101
Athens, GA 30606
Phone (706) 621-7555
855 W Broad St
Ste A
Athens, GA 30601
Phone (706) 850-6134
1061 Dowdy Rd
Ste 100
Athens, GA 30606
Phone (706) 521-7575
1061 Dowdy Rd
Ste 204
Athens, GA 30606
Phone (706) 549-3111
132 Franklin Springs St
Royston, GA 30662
Phone (706) 245-7371
132 Franklin Springs St
Ste B
Royston, GA 30662
132 Franklin Springs St
Ste A
Royston, GA 30662
Phone (706) 245-7371
Interoperability endpoints
- https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4
- casey.salcedo.1@22260.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN184724 | GA | Yes |
Addresses
Primary practice location
132 Franklin Springs St Ste a
Royston, GA 30662-4134
Mailing address
1061 Dowdy Rd Ste 204
Athens, GA 30606-5700
Phone (706) 621-7575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003232886R | Other | GA | MEDICAID |
| RN184724 | Other | GA | PROFESSIONAL LICENSE |
| 1699324707 | Other | GA | NPI |
| G17368B | Other | GA | MEDICARE PROVIDER ID |
Other providers in Royston, GA
- Royston Chiropractic Clinic, LLC
- Royston Drug Store Inc
- Royston Drug Store, Inc
- Royston Medical Associates PC
- Phoebe Basem Sahawneh
- Kylie Guest Sanders
- Serene Nurturing Navigator LLC
- Julian Douglas Sharpton
- Starrett Pharmacy, LLC
- Mary Rene' Starrett
All providers in Royston, 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 Dec 12, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.