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JENNIFER CAUDILL, MD PLLC
NPI 1477841245
Dermatology in Clarkston, MI

Active since July 14, 2011CLIA 23D0687945 · Certificate of Compliance
5885 S MAIN ST STE 1, CLARKSTON, MI 48346(248) 623-9700(248) 623-8996 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Caudill, Md Pllc NPPES

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

JENNIFER CAUDILL, MD PLLC (NPI 1477841245) is a healthcare organization registered as a dermatology in Clarkston, Michigan and active in the NPI registry since July 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 14, 2027 and lists Alisha Palermino, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477841245
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJENNIFER CAUDILL, MD PLLC
Location Address5885 S MAIN ST STE 1Clarkston, MI 48346-2981
Mailing Address5885 S Main St Ste 1Clarkston, MI 48346-2981 · (248) 623-9700 · Fax (248) 623-8996
Phone(248) 623-9700
Fax(248) 623-8996
Organization SubpartNo
Authorized OfficialAlisha PalerminoPractice Manager · (248) 623-9700
Enumeration DateJuly 14, 2011
Last NPPES UpdateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1477841245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301 086079
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5885 S MAIN ST STE 1, Clarkston, MI 48346
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 23D0687945

Jennifer Caudill MD PLLC · Clarkston, MI
Active · expires Mar 14, 2027
CLIA Number23D0687945
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorJennifer Caudill
Laboratory Phone(248) 623-9700
Laboratory LocationJennifer Caudill MD PLLC5885 S Main St Suite 1, Clarkston, MI 48346
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

ALEXANDRA GRAYCE HOOPER NP
Nurse Practitioner (Family)
5885 S MAIN ST STE 1
CLARKSTON, MI 48346
Oakland County (248) 515-8952
KENZIE GARDNER NP
Nurse Practitioner (Family)
5885 S MAIN ST STE 1
CLARKSTON, MI 48346
Oakland County (614) 507-3765
MAIN STREET DERMATOLOGY, PLLC
Dermatology
5885 S MAIN ST STE 1
CLARKSTON, MI 48346
Oakland County (248) 238-8059

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 Jennifer Caudill, MD PLLC's NPI number?

The NPI number for Jennifer Caudill, MD PLLC is 1477841245. It was assigned to this organization in the NPPES registry on July 14, 2011.

Where is Jennifer Caudill, MD PLLC located?

Jennifer Caudill, MD PLLC is located at 5885 S Main St Ste 1, Clarkston, MI 48346. The listed phone number is (248) 623-9700.

What is Jennifer Caudill, MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Jennifer Caudill, MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D0687945) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jennifer Caudill, MD PLLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jennifer Caudill, MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Caudill, MD PLLC was last updated on June 28, 2021. 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.