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

Ronald Caudill Jr.

Individual provider Nurse Practitioner · NPI 1457831539

Ronald Caudill Jr. is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2018, 8 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2018
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Practice location Address checks out

701 Grove Rd Fl 5
Greenville, SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 22130 (SC)

Record details

NPI number1457831539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville