Caldwell Medical Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CALDWELL MEDICAL GROUP, PLLC

Practice address

2109 S Highway 69
Wagoner, OK 74467-9310

Phone

(918) 485-6069

Fax

(888) 815-0475

NPI assigned

May 6, 2010

Last updated

Jul 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kammie Caldwell, M.D.NPI 1780663575

Title

Physician / Owner

Phone

(918) 485-2104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kammie Marie Caldwell, M.D.

  • Internal Medicine Physician
  • Wagoner, OK
  • NPI 1780663575
  Medicare reassignment Care Compare group Authorized official
• Jalyssa Ericka Valencia

  • Medical Physician Assistant
  • Wagoner, OK
  • NPI 1851068407
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1760700371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744679310",
            "telephone_number": "918-485-6069",
            "fax_number": "888-815-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S HIGHWAY 69",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744679310",
            "telephone_number": "918-485-6069",
            "fax_number": "888-815-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 N Aspen Ave Ste 1011",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740121375",
            "country_code": "US",
            "telephone_number": "918-994-7962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALDWELL MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KAMMIE",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "918-485-2104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Brown
• Olivia Brown, SLP
• Gary L Bryant, DDS
• Jessica Buchanan, SLP
• Katrina Naomi Byrd
• Caldwell Medical Group, PLLC (Total Health and Wellness)
• Kammie Marie Caldwell, M.D.
• Cardiovascular Institute of Excellence PLLC
• Josephine Carsten
• Casey Hanna MD Professional Corporation

• Internal Medicine Physician in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.