Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Autum Michole Caldwell, PA-C

Individual provider Physician Assistant · NPI 1396093647

Autum Michole Caldwell, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2012, 14 years ago. Practices with Southside Dermatology PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6565 S Yale Ave Ste 503
Tulsa, OK 74136-8327
Phone: (918) 494-8333
Fax: (918) 494-8334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2114 (OK)

Record details

NPI number1396093647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 16, 2012
Last updated in NPPESNovember 12, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Southside Dermatology Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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