Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marty Caudle, PA

Individual provider Physician Assistant · NPI 1639318645

Marty Caudle, PA is a Physician Assistant in Greenville, Illinois. Graduated from Saint Louis University School of Medicine in 1999, 27 years ago. Practices with Hshs Holy Family Hospital Inc, a 24-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Tennessee.

Years since qualifying
27
Trained at
Saint Louis University School of Medicine
Licensed in
OR, TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

404 Durley St
Greenville, IL 62246
Phone: (618) 690-3595
Fax: (618) 690-3596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12860 Troxler Ave, Highland, IL 62249 — (618) 651-2810
  • 102 Wessington Pl, Hendersonville, TN 37075-3085 — (615) 822-2214

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4854 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA01451 (OR)

Record details

NPI number1639318645
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2009
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address404 Durley St, Greenville, IL 62246-1504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Hshs Holy Family Hospital Inc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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