Individual provider Active NPI

Jonathon Wesley Capps, PA-C

  • Physician Assistant
  • Brunswick, GA
National Provider Identifier
1063905990
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1111 Glynco Pkwy BLDG 1
Ste 10
Brunswick, GA 31525
Phone
(912) 264-9111
NPI assigned
Jun 14, 2018
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1111 Glynco Pkwy BLDG 1
Ste 10
Brunswick, GA 31525

Mailing address

1111 Glynco Pkwy BLDG 1
Ste 10
Brunswick, GA 31525
Phone (912) 264-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000964 GA Practitioner - Physician Assistant 7810231396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Carenow Urgent Care LLCGroup PAC ID 2062908155, 7 clinicians

Practice addresses (Care Compare)

14089 Abercorn St
Savannah, GA 31419-1966
Phone (912) 349-4945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008859GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Carenow Urgent Care LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

105 Grand Central Blvd
Ste 108
Pooler, GA 31322
Phone (912) 748-1515

14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945

1512 Bull St
Unit 6
Savannah, GA 31401
Phone (912) 200-6490

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1063905990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY BLDG 1",
            "address_2": "STE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-264-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY BLDG 1",
            "address_2": "STE 10",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31525",
            "telephone_number": "912-264-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "JONATHON",
        "middle_name": "WESLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.