Individual provider Active NPI

Lindsay Ballard Capps, NP-C

  • Nurse Practitioner
  • Bremen, GA
National Provider Identifier
1154862910
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN202396 Issued in GA
Practice address
222 Gordon St
Bremen, GA 30110-1519
Phone
(770) 537-1234
Fax
(770) 537-1237
NPI assigned
Mar 13, 2017
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN202396 GA
Nurse Practitioner 363L00000X RN202396 GA Primary

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

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
I20170815003676 GA Practitioner - Nurse Practitioner 6204108905 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN202396GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services, LLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
3:16 Urgent Care LLC CurrentSince Nov 24, 2025 Accepting new patients
Tanner Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Georgia Em-I Medical Services. LLC Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
West Georgia Urology Associates PC CurrentSince Jul 1, 2017 Accepting new patients
Carrollton Surgical Group, P. a. PastSince May 22, 2023 Accepting new patients

Locations

1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

150 Clinic Ave
Ste 202
Carrollton, GA 30117
Phone (770) 834-6968

150 Clinic Ave
Ste 203
Carrollton, GA 30117
Phone (770) 834-0613

820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900

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

  • Direct secure messaging: lindsay.capps.1@22071.direct.athenahealth.com

Organizations & group practices 7

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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1154862910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GORDON ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101519",
            "telephone_number": "770-537-1234",
            "fax_number": "770-537-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GORDON ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101519",
            "telephone_number": "770-537-1234",
            "fax_number": "770-537-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Alabama Ave S",
            "address_purpose": "LOCATION",
            "city": "Bremen",
            "state": "GA",
            "postal_code": "301102501",
            "country_code": "US",
            "telephone_number": "678-821-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Maple St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173626",
            "country_code": "US",
            "telephone_number": "678-390-7915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Tanner St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173318",
            "country_code": "US",
            "telephone_number": "678-390-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "LINDSAY",
        "middle_name": "BALLARD",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN202396",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN202396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

Verify at the official NPI Registry.