CAEDEL MEDICAL GROUP
NPI 1710922075
Internal Medicine in Riverdale, GA
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Caedel Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Caedel Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Caedel Medical Group enrolled in Medicare?
Yes. Caedel Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Caedel Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Caedel Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Caedel Medical Group · NPI 1710922075
Internal Medicine organization in Riverdale, Georgia. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1710922075 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Claire Willie, PHYSICIAN/OWNER
## Practice location
- **Address:** 1324 HIGHWAY 138 SW, Riverdale, GA 30296-1404
- **Phone:** (770) 907-4949 · **Fax:** (770) 907-4022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2011
- **Other identifiers:** Medicare PIN GRP6482 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710922075) · Data from the CMS NPPES public registry.