CALEB MICHAEL GULLEDGE MD
NPI 1881276228
Radiology - Diagnostic Radiology in Atlanta, GA

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment
EMORY RADIOLOGY RESIDENCY PROGRAM, 1364 CLIFTON RD NE, RM BG03, ATLANTA, GA 30322(404) 712-4686 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Jun 10, 2022, Apr 26, 2021 (3 updates tracked since 2021).

About Caleb Michael Gulledge Md NPPES

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

CALEB MICHAEL GULLEDGE MD (NPI 1881276228) is an individual diagnostic radiology provider in Atlanta, Georgia, licensed in Michigan (4301516855) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1881276228
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCALEB MICHAEL GULLEDGECredential: MD
Location AddressEMORY RADIOLOGY RESIDENCY PROGRAM, 1364 CLIFTON RD NE, RM BG03Atlanta, GA 30322-0001
Mailing Address1364 Clifton Rd Ne Rm Bg03Atlanta, GA 30322-0001 · (404) 712-4686 · Fax (404) 712-7908
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2021
Enumeration DateApril 26, 2021
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1881276228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301516855
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
EMORY RADIOLOGY RESIDENCY PROGRAM, Atlanta, GA 30322

Secondary Practice Location 1

Location 11215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-1000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb Michael Gulledge Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961803507
PECOS Enrollment IDI20260521001917
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Caleb Gulledge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
Pulmonary Disease
1200 E MICHIGAN AVE STE 700
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 117 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Caleb Gulledge's NPI number?

The NPI number for Caleb Gulledge is 1881276228. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Caleb Gulledge located?

Caleb Gulledge practices at Emory Radiology Residency Program 1364 Clifton Rd NE, Rm Bg03, Atlanta, GA 30322. The listed phone number is (404) 712-4686.

What is Caleb Gulledge's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Caleb Gulledge enrolled in Medicare?

Yes. Caleb Gulledge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Caleb Gulledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Gulledge reassigns Medicare benefits to 2 organizations: Eastpointe Radiologists, P.C. (Detroit, MI) and Edward W. Sparrow Hospital Association (Lansing, MI). Each 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 Caleb Gulledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Gulledge accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Caleb Gulledge 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.

Is Caleb Gulledge affiliated with any hospitals?

According to CMS data, Caleb Gulledge is affiliated with Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Caleb Gulledge was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.