NPIMap

Organization Active NPI

Caap Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • Athens, GA
National Provider Identifier
1962052167
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CAAP MEDICAL GROUP
Practice address
700 Sunset Dr Ste 601
Athens, GA 30606-7720
Phone
(706) 549-4155
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Miss Katelyn Cole
Title
Authorized Official
Phone
(706) 247-5605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

700 Sunset Dr Ste 601
Athens, GA 30606-7720

Mailing address

700 Sunset Dr Ste 601
Athens, GA 30606-7720
Phone (706) 549-4155

Other names 1

  • Athens Diabetes and Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200109000696 GA Part B Supplier - Clinic/Group Practice 7618209131 Receives reassigned benefits from 3 practitioners
Practice locations: Athens, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Athens Diabetes and Endocrinology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Sunset Dr
Ste 601
Athens, GA 30606
Phone (706) 548-4754

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1962052167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 601",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067720",
            "telephone_number": "706-549-4155",
            "fax_number": "706-549-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 601",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067720",
            "telephone_number": "706-549-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAAP MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "706-247-5605",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Diabetes and Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athens Diabetes and Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.