Individual provider Active NPI

Charles Albert Cape, M.D

  • Vascular Neurology Physician
  • Germantown, TN
National Provider Identifier
1063483923
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
0000005328 Issued in TN
Practice address
2100 Exeter Rd
Germantown, TN 38138-3922
Phone
(901) 757-1350
Fax
(901) 757-3493
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 0000005328 TN Primary

Addresses

Primary practice location

2100 Exeter Rd
Germantown, TN 38138-3922

Mailing address

1575 Lawton TRL
Germantown, TN 38138-2829
Phone (901) 753-8486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000005328TNMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Clinic, PC PastSince Apr 1, 2020 Accepting new patients
Neurology Clinic, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1063483923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 LAWTON TRL",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382829",
            "telephone_number": "901-753-8486",
            "fax_number": "901-753-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383922",
            "telephone_number": "901-757-1350",
            "fax_number": "901-757-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPE",
        "first_name": "CHARLES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TN",
            "license": "0000005328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.