CHAD CALDWELL (MD) – Trauma Surgery Physician, NPI 1710957352

CHAD CALDWELL (MD) is a healthcare provider. based in Douglasville, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 200100652 (NC). The NPI Number for CHAD CALDWELL (MD) is 1710957352

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
CHAD CALDWELL (MD)
NPI
1710957352
Phone
(770) 942-4822
Address
4904 Timber Ridge Dr Ste 104
Enumeration Date
25 January 2006
Last Update Date
12 October 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF PENNSYLVANIA
Secondary Phone
7704248222
Graduation Year
1996 (30 years ago)
PAC ID
6608834932
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20211020001038
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
ccaldwell432715@directwellstar.org
Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

Provider Addresses for CHAD CALDWELL (MD)

  • 4904 Timber Ridge Dr Ste 104

    Douglasville, GA 301351831

    Phone: (770) 942-4822

    Fax: (770) 942-5311

    Type: Location

  • 103 Professional Park

    Suite 3

    Oxford, NC 275652581

    Phone: (919) 603-0873

    Type: Location

  • 102, Professional Park, Oxford, Granville County, North Carolina, 27565, United States

    STE C

    OXFORD, NC 275652501

    Phone: (919) 603-0873

    Type: Mailing

  • 103, Professional Park, Oxford, Granville County, North Carolina, 27565, United States

    SUITE 3

    OXFORD, NC 275652581

    Phone: (919) 603-0873

    Type: Location

  • 4904 TIMBER RIDGE DR STE 104

    DOUGLASVILLE, GA 301351831

    Phone: (770) 942-4822

    Fax: (770) 942-5311

    Type: Mailing

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (717) 531-8887

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050103000579IGeneral SurgeryPATBD
I20211020001038IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 30135)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Does CHAD CALDWELL (MD) have a public NPI I can cite?
Public records show CHAD CALDWELL (MD) under NPI 1710957352.
Does the public listing show CHAD CALDWELL (MD) as active?
CHAD CALDWELL (MD)'s NPI record reflects an active status in NPPES.
What does the directory say CHAD CALDWELL (MD) does?
Insurance directories may phrase it differently, but here CHAD CALDWELL (MD) maps to Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to CHAD CALDWELL (MD)?
The directory associates CHAD CALDWELL (MD) with Douglasville, Georgia. Check all listed addresses for suites or satellite offices.
Why is information missing for CHAD CALDWELL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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