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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH SHEPPARD CAUDLE DO
NPI 1619670932
Student in an Organized Health Care Education/Training Program in Concord, NC

Active since March 24, 2023PECOS Enrolled
3535 FARM LAKE DR SW, CONCORD, NC 28027(740) 202-4470 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Mar 24, 2023 (2 updates tracked since 2023).

About Elizabeth Sheppard Caudle Do NPPES

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

ELIZABETH SHEPPARD CAUDLE DO (NPI 1619670932) is an individual student in an organized health care education/training program in Concord, North Carolina and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619670932
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH SHEPPARD CAUDLECredential: DO
Location Address3535 FARM LAKE DR SWConcord, NC 28027-7219
Mailing Address3535 Farm Lake Dr SwConcord, NC 28027-7219 · (740) 202-4470
Phone(740) 202-4470
Sole ProprietorNo
Enumeration DateMarch 24, 2023
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1619670932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2026-01470 (NC)
3535 FARM LAKE DR SW, Concord, NC 28027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Sheppard Caudle Do 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.

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 Elizabeth Caudle's NPI number?

The NPI number for Elizabeth Caudle is 1619670932. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Elizabeth Caudle located?

Elizabeth Caudle practices at 3535 Farm Lake Dr SW, Concord, NC 28027. The listed phone number is (740) 202-4470.

What is Elizabeth Caudle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elizabeth Caudle enrolled in Medicare?

Yes. Elizabeth Caudle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Caudle was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.