Active NPI
Capsule Health LLC
- Primary Care Clinic/Center
- Columbus, GA
National Provider Identifier
1164039673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CAPSULE HEALTH LLC
- Practice address
- 1041 Talbotton Rd
Columbus, GA 31904-8745 - Phone
- (706) 660-8825
- NPI assigned
- Sep 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cheryl Samuel, FNP-C
- Title
- President
- Phone
- (404) 784-2090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1041 Talbotton Rd
Columbus, GA 31904-8745
Mailing address
PO Box 2648
Tucker, GA 30085-2648
Phone (404) 784-2090
Other names 1
- Capsule Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201006003252 | GA | Part B Supplier - Clinic/Group Practice | 2860811163 |
Receives reassigned benefits from 1 practitioner Practice locations: Tucker, GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601337600000",
"number": "1164039673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2648",
"city": "TUCKER",
"state": "GA",
"postal_code": "300852648",
"telephone_number": "404-784-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 TALBOTTON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048745",
"telephone_number": "706-660-8825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSULE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-784-2090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capsule Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.