Organization Active NPI

Caduceus Telemed, LLC

  • Occupational Medicine Clinic/Center
  • Hapeville, GA
National Provider Identifier
1821687393
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CADUCEUS TELEMED, LLC
Practice address
535 N Central Ave Ste 206
Hapeville, GA 30354-1603
Phone
(404) 761-1263
Fax
(404) 761-5036
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Miss Kedra Tanjuana Patterson
Title
Telemedicine Billing Coordinator
Phone
(404) 761-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

535 N Central Ave Ste 206
Hapeville, GA 30354-1603

Mailing address

535 N Central Ave Ste 206
Hapeville, GA 30354-1603
Phone (404) 761-1263

National Provider Directory

National Provider Directory

Locations

535 N Central Ave
Ste 206
Hapeville, GA 30354
Phone (404) 761-1263

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1821687393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N CENTRAL AVE STE 206",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541603",
            "telephone_number": "404-761-1263",
            "fax_number": "404-761-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N CENTRAL AVE STE 206",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541603",
            "telephone_number": "404-761-1263",
            "fax_number": "404-761-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS TELEMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KEDRA",
        "authorized_official_middle_name": "TANJUANA",
        "authorized_official_title_or_position": "TELEMEDICINE BILLING COORDINATOR",
        "authorized_official_telephone_number": "404-761-1263",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hapeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.