Individual provider Active NPI

George L Capo, DO

  • Family Medicine Physician
  • Thomaston, GA
National Provider Identifier
1154330843
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042539 Issued in GA
Practice address
1512 Highway 19 N
Thomaston, GA 30286-2258
Phone
(706) 647-2641
Fax
(706) 647-2680
NPI assigned
Aug 5, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042539 GA Primary

Addresses

Primary practice location

1512 Highway 19 N
Thomaston, GA 30286-2258

Mailing address

1512 Highway 19 N
Thomaston, GA 30286-2258
Phone (706) 647-2641

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000498 GA Practitioner - Family PracticePractitioner - Emergency Medicine 6800783820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Upson Family Medical Center, LLCGroup PAC ID 9032472824, 6 clinicians

Practice addresses (Care Compare)

1512 Hwy 19 N
Thomaston, GA 30286-2258
Phone (706) 647-2641

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upson Family Physicians, LC Family Medicine CurrentSince Jan 28, 2025 Accepting new patients
Upson Family Medical Center ,LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
St. Mary's Good Samaritan Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Upson Medical Associates LLC Family Medicine Past Accepting new patients
Piedmont Medical Care Corporation Family Medicine PastSince Sep 8, 2021 Accepting new patients
Sterling Emergency Services of the Southeast Inc Past Accepting new patients

Locations

1512 Highway 19 N
Thomaston, GA 30286
Phone (706) 647-2641

915 W Gordon St
#B
Thomaston, GA 30286
Phone (706) 647-7009

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1154330843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862258",
            "telephone_number": "706-647-2641",
            "fax_number": "706-647-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862258",
            "telephone_number": "706-647-2641",
            "fax_number": "706-647-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPO",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-01-23",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.