NICHOLAS MICHAEL CAPITO (NPI# 1114238474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114238474 |
| Entity Type | Individual |
| Full Name | NICHOLAS MICHAEL CAPITO |
| Credential | M.D. |
| Practice Address |
3650 J Dewey Gray Cir Augusta GA 30909 |
| Mailing Address |
3650 J Dewey Gray Cir Augusta GA 30909-1867 |
| Practice Telephone | 7068639797 |
| Practice Fax Number | 7068607686 |
| Mailing Telephone | 7068639797 |
| Mailing Fax Number | 7068607686 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 40050 | SC | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 076656 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 14886 | RI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 2010021765 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3650 J DEWEY GRAY CIR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523419 | Myron D F Collins | Orthopaedic Surgery | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2005-07-28 |
| 1699380493 | Jaison D Majzer | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2020-09-09 |
| 1750833729 | Kathleen Devan Early | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2016-10-26 |
| 1225458755 | Aos Surgery Center LLC | Clinic/Center | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2014-04-23 |
| 1730420183 | Ashley Michelle Shelton | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2013-03-11 |
| 1174858310 | Jason Donald Lee | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1003141243 | Stacy Leigh Rush | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1972838118 | Derek Martin Lamb | Physical Therapist | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-10-06 |
| 1366776866 | Michael Frederic Pruitt | Physician Assistant | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-09-30 |
| 1740423243 | Van Lee Malia | Physical Medicine & Rehabilitation | 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 | 2009-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841639465 | Joe David Christian Jr. | Orthopaedic Surgery | 4 Indian Creek Rd, Augusta, GA 30909-3749 | 2013-06-17 |
| 1578909396 | Melissa M Allen | Orthopaedic Surgery | Augusta University Medical Center, 1120 15th Street, Augusta, GA 30912-0001 | 2013-05-20 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| 1548455124 | Uzondu Francis Agochukwu | Orthopaedic Surgery | Augusta University Medical Ctr, 1120 15th Street, Augusta, GA 30912-0004 | 2007-09-07 |
| 1386654952 | Robert L.j. Sampson | Orthopaedic Surgery | 1 Va Ctr Bldg Dr, Bldg 200, Augusta, ME 04330-6719 | 2006-08-08 |
| 1619997780 | William Crozier Meade | Orthopaedic Surgery | 1 Va Center Drive, Surgical Service 112, Augusta, ME 04330 | 2006-07-20 |
| 1417914706 | John Adrian Bojescul | Orthopaedic Surgery | 3650 J Dewey Gray Circle, Augusta, GA 30909 | 2006-04-28 |
| 1316908536 | Augusta Orthopaedic Clinic Pa | Orthopaedic Surgery | 1521 Anthony Rd, Augusta, GA 30904-4821 | 2006-03-29 |
| 1760458129 | William D Rogers | Orthopaedic Surgery | 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894 | 2006-02-27 |
| 1033119128 | Robert L Brand IIi | Orthopaedic Surgery | 3650 J Dewey Gray Cr, Augusta, GA 30909 | 2005-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.