CARITAS MEDICAL CENTER FAYETTEVILLE LLC
NPI 1801572003
Internal Medicine - Nephrology in Stockbridge, GA

Q: What is Caritas Medical Center Fayetteville LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since June 23, 2023

105 N PARK TRL STE 300, STOCKBRIDGE, GA 30281(678) 284-0800(678) 284-9299 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Caritas Medical Center Fayetteville Llc NPPES

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

CARITAS MEDICAL CENTER FAYETTEVILLE LLC (NPI 1801572003), doing business as Caritas Medical Center Llc, is a healthcare organization registered as a nephrology in Stockbridge, Georgia and active in the NPI registry since June 2023. The organization lists Veraline Ovadje, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801572003

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameCARITAS MEDICAL CENTER FAYETTEVILLE LLC

Location Address105 N PARK TRL STE 300Stockbridge, GA 30281-7432

Mailing Address105 N Park Trl Ste 300Stockbridge, GA 30281-7432 · (678) 284-0800 · Fax (678) 284-9299

Phone(678) 284-0800

Fax(678) 284-9299

Organization SubpartYesParent: Caritas Medical Center Llc

Authorized OfficialVeraline OvadjeOffice Manager · (678) 284-0800

Enumeration DateJune 23, 2023

NPPES CertifiedJune 23, 2023

✔ NPI 1801572003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

105 N PARK TRL STE 300, Stockbridge, GA 30281

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Other Names 1

Doing Business AsCaritas Medical Center Llc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caritas Medical Center Fayetteville Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Caritas Medical Center Fayetteville LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thuy Le

Nephrology

NPI 1255869970

395 W 27TH ST
Lumberton, NC 28358

(910) 739-7551

✔ PECOS305 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Caritas Medical Center Fayetteville LLC's NPI number?

The NPI number for Caritas Medical Center Fayetteville LLC is 1801572003. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Caritas Medical Center LLC.

Where is Caritas Medical Center Fayetteville LLC located?

Caritas Medical Center Fayetteville LLC is located at 105 N Park Trl Ste 300, Stockbridge, GA 30281. The listed phone number is (678) 284-0800.

What is Caritas Medical Center Fayetteville LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Caritas Medical Center Fayetteville LLC enrolled in Medicare?

Yes. Caritas Medical Center Fayetteville LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Caritas Medical Center Fayetteville LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Caritas Medical Center Fayetteville LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Caritas Medical Center Fayetteville LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.