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

Individual provider Physician Assistant · NPI 1205189404

Jeremy David Caudill, PA-C is a Physician Assistant in Danville, Kentucky. Qualified in 2012, 14 years ago. Practices with Danville Orthopaedics and Sports Medicine PSC, a 10-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
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

333 S 3rd St Ste B
Danville, KY 40422-2016
Phone: (859) 236-8730
Fax: (859) 236-4468
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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 PA1779 (KY)

Record details

NPI number1205189404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2012
Last updated in NPPESFebruary 5, 2014

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 Danville Orthopaedics And Sports Medicine Psc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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