Lindsay Ballard Capps, NP-C
Individual provider Active NPI Nurse Practitioner · Bremen, GA
NPI 1154862910 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1154862910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN202396 (GA)
- Practice address
- 222 Gordon St
Bremen, GA 30110-1519 - Phone
- (770) 537-1234
- Fax
- (770) 537-1237
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815003676 | GA | Practitioner - Nurse Practitioner | 6204108905 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current |
Accepting new patients | |
| Georgia Em-I Medical Services. LLC | Nurse Practitioner | Current |
Accepting new patients |
| Georgia Em-I Medical Services, LLC | Nurse Practitioner | Current |
Accepting new patients |
| West Georgia Urology Associates PC | Current |
Accepting new patients | |
| 3:16 Urgent Care LLC | Current |
Accepting new patients | |
| Carrollton Surgical Group, P. a. | Past |
Accepting new patients |
Locations
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660
150 Clinic Ave
Ste 203
Carrollton, GA 30117
Phone (770) 834-0613
820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900
150 Clinic Ave
Ste 202
Carrollton, GA 30117
Phone (770) 834-6968
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
705 Dallas Hwy
Ste 205
Villa Rica, GA 30180
Phone (770) 771-5230
Interoperability endpoints
- lindsay.capps.1@22071.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN202396 | GA | |
| Nurse Practitioner | 363L00000X | RN202396 | GA | Yes |
Addresses
Primary practice location
222 Gordon St
Bremen, GA 30110-1519
Mailing address
222 Gordon St
Bremen, GA 30110-1519
Phone (770) 537-1234
Other practice location 1
1009 Alabama Ave S
Bremen, GA 30110-2501
Phone (678) 821-6400
Other practice location 2
820 Maple St
Carrollton, GA 30117-3626
Phone (678) 390-7915
Other practice location 3
527 Tanner St
Carrollton, GA 30117-3318
Phone (678) 390-6575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861915647 | Other | GA | GROUP NPI |
Other providers in Bremen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.