NPIMap

Individual provider Active NPI

Anthony G Captain, M.D.

  • Internal Medicine Physician
  • Calhoun, GA
National Provider Identifier
1023035094
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
039300 Issued in GA
Practice address
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone
(706) 879-4776
Fax
(706) 879-4781
NPI assigned
Jul 16, 2006
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 039300 GA Primary

Addresses

Primary practice location

1035 Red Bud Rd NE
Calhoun, GA 30701-6010

Mailing address

PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7013
Phone (706) 602-7800

Other identifiers 1

IdentifierTypeStateIssuer
000666399DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000463 GA Practitioner - Internal Medicine 0749259661 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

1035 Red Bud Rd NE
Calhoun, GA 30701-6010

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 879-5760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
68.23
Promoting interoperability
100
Improvement activities
40
Cost
74.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hospice of Northwest Georgia, LLC CurrentSince Jun 1, 2022 Accepting new patients
Homestead Hospice of Lawrencesville, LLC CurrentSince Mar 15, 2023 Accepting new patients
Creative Hospice Care Inc CurrentSince Jun 1, 2022 Accepting new patients
Homestead Hospice of Cartersville, LLC CurrentSince Jun 1, 2022 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Oct 1, 2013 Accepting new patients
Homestead Hospice of South Georgia, LLC CurrentSince Jun 1, 2022 Accepting new patients
Homestead Hospice of South Georgia, LLC PastSince Feb 19, 2023 Accepting new patients
Primary Care Partners, PC Internal Medicine Past Accepting new patients
Creative Hospice Care, Inc PastSince Jan 17, 2022 Accepting new patients
Homestead Hospice of Augusta, LLC Past Accepting new patients
Homestead Hospice of Central Georgia, LLC Past Accepting new patients
Homestead Hospice of Blairsville, LLC PastSince Jan 17, 2022 Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients
Traditions Hospice of Lawrenceville, LLC PastSince Oct 5, 2021 Accepting new patients

Locations

1561 Lenru Rd
Ste A
Bogart, GA 30622
Phone (706) 548-8444

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

400 Timms Rd NE
Calhoun, GA 30701
Phone (706) 625-0022

497 Rome St
Carrollton, GA 30117
Phone (770) 462-1047

100 Market Place Blvd
Ste 301
Cartersville, GA 30121
Phone (678) 290-4817

126 S Access Rd
Chula, GA 31733
Phone (229) 520-3052

1601 Hickory St
Dalton, GA 30720
Phone (706) 217-1926

110 10th St E
Ste A
Tifton, GA 31794
Phone (229) 520-3052

Interoperability endpoints

  • Direct secure messaging: acaptain821375@adventhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eternal Faith Hospice and Palliative CareDalton, GA, CCN 111741 Hospice Contracted Managing Employee Oct 3, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1023035094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12938",
            "address_2": "C/O CLINIC MANAGEMENT",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307037013",
            "telephone_number": "706-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307016010",
            "telephone_number": "706-879-4776",
            "fax_number": "706-879-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPTAIN",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "039300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000666399D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.