CASEY PRIDGEON
NPI 1245847987
Nurse Practitioner - Family in Hiram, GA

Q: What is Casey Pridgeon's NPI number?

The NPI number for Casey Pridgeon is 1245847987. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Q: What is Casey Pridgeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Pridgeon was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 27, 2020

316 RICHARDS WAY, HIRAM, GA 30141(305) 924-6601 Get Directions Write a Review

NPPES record last updated: September 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Casey Pridgeon NPPES

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

CASEY PRIDGEON (NPI 1245847987) is an individual family provider in Hiram, Georgia, licensed in Georgia (261957) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1245847987

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASEY PRIDGEON

Location Address316 RICHARDS WAYHiram, GA 30141-5193

Mailing Address316 Richards WayHiram, GA 30141-5193

Phone(305) 924-6601

Sole ProprietorYes

Enumeration DateSeptember 27, 2020

NPPES CertifiedSeptember 27, 2020

✔ NPI 1245847987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · 261957

316 RICHARDS WAY, Hiram, GA 30141

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Pridgeon's NPI number?

The NPI number for Casey Pridgeon is 1245847987. It was assigned to this individual provider in the NPPES registry on September 27, 2020.

Where is Casey Pridgeon located?

Casey Pridgeon practices at 316 Richards Way, Hiram, GA 30141. The listed phone number is (305) 924-6601.

What is Casey Pridgeon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Casey Pridgeon was last updated on September 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.