HEE JIN CAYETANO PA-C, RD, LD
NPI 1154575520
Physician Assistant - Medical in Gainesville, GA

Q: What is Hee Jin Cayetano's NPI number?

The NPI number for Hee Jin Cayetano is 1154575520. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is Hee Jin Cayetano's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Hee Jin Cayetano was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2008PECOS Enrolled

663 LANIER PARK DR, GAINESVILLE, GA 30501(678) 450-0202(678) 971-6065 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2022, Sep 18, 2020, Sep 3, 2020 (3 updates tracked since 2020).

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About Hee Jin Cayetano Pa-c, Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEE JIN CAYETANO PA-C, RD, LD (NPI 1154575520) is an individual medical provider in Gainesville, Georgia, licensed in Georgia (9851) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1154575520

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEE JIN CAYETANOCredential: PA-C, RD, LD

Location Address663 LANIER PARK DRGainesville, GA 30501-2059

Mailing Address663 Lanier Park DrGainesville, GA 30501-2059 · (678) 450-0202 · Fax (678) 971-6065

Phone(678) 450-0202

Fax(678) 971-6065

Sole ProprietorNo

Enumeration DateNovember 11, 2008

Last NPPES UpdateSeptember 16, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2022

✔ NPI 1154575520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 9851

Also ListedNutritionistTaxonomy 133N00000X · License LD003056 (GA)

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License LD003056 (GA)

Also ListedPhysician AssistantTaxonomy 363A00000X

663 LANIER PARK DR, Gainesville, GA 30501

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Secondary Practice Location 1

Location 1430 CENTENNIAL OLYMPIC PARK DRIVEATLANTA, GA 30313 · Phone (404) 607-1064

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hee Jin Cayetano Pa-c, Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. VIKRAMJEET M KAKADE MD

Internal Medicine (Nephrology)