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CAEDEL MEDICAL GROUP
NPI 1710922075
Internal Medicine in Riverdale, GA

Active since June 19, 2006CLIA 11D0979039 · Waiver
1324 HIGHWAY 138 SW, RIVERDALE, GA 30296(770) 907-4949(770) 907-4022 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caedel Medical Group NPPES

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

CAEDEL MEDICAL GROUP (NPI 1710922075) is a healthcare organization registered as an internal medicine in Riverdale, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Claire K Willie, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1710922075
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCAEDEL MEDICAL GROUP
Location Address1324 HIGHWAY 138 SWRiverdale, GA 30296-1404
Mailing AddressPo Box 9Fayetteville, GA 30214-0009 · (770) 907-4949 · Fax (770) 907-4022
Phone(770) 907-4949
Fax(770) 907-4022
Organization SubpartNo
Authorized OfficialClaire K WilliePhysician/owner · (770) 907-4949
Enumeration DateJune 19, 2006
Last NPPES UpdateAugust 2, 2011
✔ NPI 1710922075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 039177
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1324 HIGHWAY 138 SW, Riverdale, GA 30296
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Other Identifiers 1

Medicare PINGRP6482GA

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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 Waiver 11D0979039

Caedel Medical Group, Cp · Riverdale, GA
Active · expires Nov 16, 2026
CLIA Number11D0979039
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorClaire K. Willie
Laboratory Phone(770) 907-4949
Laboratory LocationCaedel Medical Group, Cp1324 Highway 138 South West, Riverdale, GA 30296
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SHONTIAYA S. PATTERSON FNP
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
CAMILLE PLESHETTE COOK FNP-C
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
TRAVORIS DEMIAS CAMERON PA-C
Physician Assistant (Medical)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
MRS. TANNISA D BAILEY APRN
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
LULA SHERRI M MITCHELL PA
Physician Assistant (Medical)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
CLAIRE K WILLIE MD
Internal Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949
JAMES OLIVIERE JR. MD
Family Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Clayton County (770) 907-4949

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 Caedel Medical Group's NPI number?

The NPI number for Caedel Medical Group is 1710922075. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Caedel Medical Group located?

Caedel Medical Group is located at 1324 Highway 138 SW, Riverdale, GA 30296. The listed phone number is (770) 907-4949.

What is Caedel Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Caedel Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0979039) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caedel Medical Group accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Caedel Medical Group 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 Caedel Medical Group was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.