Individual provider Active NPI

Alexis Olivia Caudle, FNP-C

  • Family Nurse Practitioner
  • High Point, NC
National Provider Identifier
1871221697
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016736 Issued in NC
Practice address
2630 Willard Dairy Rd Ste 200
High Point, NC 27265-8351
Phone
(336) 884-3800
Fax
(336) 884-3801
NPI assigned
Aug 10, 2022
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016736 NC
Family Nurse Practitioner 363LF0000X 5016736 NC Primary
Family Medicine Physician 207Q00000X F06221282 NC

Addresses

Primary practice location

2630 Willard Dairy Rd Ste 200
High Point, NC 27265-8351

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331

Other practice location 1

711 National Hwy Ste 500
Thomasville, NC 27360-2669
Phone (336) 475-9164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019000368 NC Practitioner - Nurse Practitioner 4183090939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3518 Drawbridge Pkwy
Suite 330
Greensboro, NC 27410-8432
Phone (336) 890-3140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06221282NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Apr 7, 2024 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Oct 10, 2022 Accepting new patients
Wake Forest Health Network LLC Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Jun 16, 2024 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 16, 2024 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine PastSince Jan 2, 2025 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine PastSince Sep 21, 2026 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3518 Drawbridge Pkwy
Ste 330
Greensboro, NC 27410
Phone (336) 890-3072

2630 Willard Dairy Rd
#200
High Point, NC 27265
Phone (336) 884-3800

2630 Willard Dairy Rd
Ste 200
High Point, NC 27265
Phone (336) 884-3800

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

711 National Hwy
Ste 500
Thomasville, NC 27360
Phone (336) 474-1995

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: acaudle2753491@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1871221697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WILLARD DAIRY RD STE 200",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658351",
            "telephone_number": "336-884-3800",
            "fax_number": "336-884-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 National Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273602669",
            "country_code": "US",
            "telephone_number": "336-475-9164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "ALEXIS",
        "middle_name": "OLIVIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016736",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "F06221282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.