Caitlyn Smith Coleman, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

LL37032 Issued in SC

Practice address

391 Peachtree St
Jesup, GA 31545-0245

Phone

(912) 530-7337

Fax

(912) 530-7339

NPI assigned

Jun 12, 2014

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Neighborhood Pediatrics

  • Pediatrics Physician
  • Blackshear, GA
  • NPI 1033773858
  NPD (past)
• Stanley D. Jones, M.D.P.C.

  dba The Pediatric Center

  • Pediatrics Physician
  • Jesup, GA
  • NPI 1497264329
  NPD (past)

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1750795373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-530-7337",
            "fax_number": "912-530-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-530-7337",
            "fax_number": "912-530-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hobbs St",
            "address_purpose": "LOCATION",
            "city": "Blackshear",
            "state": "GA",
            "postal_code": "315161323",
            "country_code": "US",
            "telephone_number": "912-807-7337",
            "fax_number": "912-807-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "CAITLYN",
        "middle_name": "SMITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL37032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Carter
• Phillip Jonas Carver, PHARM D.
• Kyle Nicholas Castleberry, PA-C
• Nicholas Avery Child
• Coastal Serenity Counseling, LLC
• Daniel B Collipp, D.O.
• Platon J Collipp, M.D.
• Melanie D Collum, FNP-BC
• Clayton Conners, DPT
• Jay Brandon Cook, M.D.

• Pediatrics Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.