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NPI Code Detail

MEDICARE: DR. GREGORY CAUDILL M.D.

MEDICARE: DR. GREGORY CAUDILL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry Physician206035LA
22084P0800XPsychiatry Physician149560NC

General Provider Information

NPI Number : 1477718013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY CAUDILL M.D.
Provider Business Mailing Address
First Line : 725 BARTHOLOMEW ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-5413
Country : US
Telephone Number : 336-926-1588
Fax Number :
Provider Business Practice Location Address
First Line : 2372 SAINT CLAUDE AVE STE 220
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8388
Country : US
Telephone Number : 504-399-4880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2008
Last Update Date : 06/10/2026

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Directions to “ DR. GREGORY CAUDILL M.D.” Practice Location

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