P Praxis·MD
● Active Type 1 · Individual

DR. Misty Dawn Caudell, M.D.

Dermatology·Gainesville, GA· NPI 1821060781 · Enumerated 2006 · 20 years on NPI
Caudell is 1 of 9 dermatology providers in Gainesville and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2006-02-06
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
GA, PA, NV
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-01-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
3 states
Top 87% — 13% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1498 Jesse Jewell Pkwy Se Ste D
Gainesville, GA 305013874
📞 7705357546fax 7705357591
Mailing address
Po Box 1456
Gainesville, GA 305031456
📞 7705357546fax 7705357591

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #058402NV license #15031 taxonomy 207N00000X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    PA license #MD425726 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (PA) 101343342
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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