NPIMap

Individual provider Active NPI

Nicholas Michael Capito, M.D.

  • Orthopaedic Surgery Physician
  • Augusta, GA
National Provider Identifier
1114238474
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
076656 Issued in GA
Practice address
3650 J Dewey Gray Cir
Augusta, GA 30909
Phone
(706) 863-9797
Fax
(706) 860-7686
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 40050 SC
Orthopaedic Surgery Physician 207X00000X 2010021765 MO
Orthopaedic Surgery Physician 207X00000X 14886 RI
Orthopaedic Surgery Physician 207X00000X 076656 GA Primary

Addresses

Primary practice location

3650 J Dewey Gray Cir
Augusta, GA 30909

Mailing address

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

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
I20160822002193 GA Practitioner - Orthopedic Surgery 1153565536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
Augusta Orthopedic and Sports Medicine Specialists, PCGroup PAC ID 8527052463, 55 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

Hospital & facility affiliations

  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010021765MOMDOrthopaedic Surgery Physician
40050SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Orthopedic & Sports Medicine Specialists PC Orthopaedic Surgery CurrentSince Jul 9, 2018 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC Orthopaedic Surgery CurrentSince Jul 9, 2018 Accepting new patients
Burke Hospital Company PastSince Jun 22, 2021 Accepting new patients
Sports Medicine Associates of Augusta, LLC Orthopaedic Surgery Past Accepting new patients

Locations

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

501 Sparta Rd
Ste C
Sandersville, GA 31082
Phone (478) 552-3989

2520 University Dr
Thomson, GA 30824
Phone (706) 595-6211

304 Jones Ave
Waynesboro, GA 30830
Phone (706) 437-0046

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicholas.capito.1@23890.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Burke HealthWaynesboro, GA, CCN 110113 Hospital 5% Or Greater Direct Ownership Interest (3.3%) Jun 14, 2021
Burke Medical CenterWaynesboro, GA, CCN 11U113 Hospital Other (3.81%) Jun 22, 2021
Burke Medical CenterWaynesboro, GA, CCN 118556 Rural health clinic Other (3.81%) Jun 22, 2021

Owned or controlled facilities with NPI records 3

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

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1114238474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPITO",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "40050",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2010021765",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "14886",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "076656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.