Capital City Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAPITAL CITY MEDICAL GROUP, LLC

Doing business as

Primary Care Plus

Practice address

7049 Perkins Rd
Baton Rouge, LA 70808

Phone

(225) 926-7200

Fax

(225) 706-2182

NPI assigned

May 12, 2014

Last updated

Aug 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Alden Kellogg

Title

Associate General Counsel

Phone

(504) 681-8532

Specialties & licenses 7

Addresses

Other names 1

• Primary Care Plus Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Capital City Medical Group LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Capital City Medical Group, LLC

  dba Primary Care Plus

  • Internal Medicine Physician
  • Gretna, LA
  • NPI 1487084943
  NPD tax ID
• Capital City Medical Group, LLC

  dba Stanocola Clinic Ancillary Services

  • Specialist
  • Baton Rouge, LA
  • NPI 1881963858
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saman Karl Jayasinghe, M.D.

  • Public Health & General Preventive Medicine Physician
  • New Orleans, LA
  • NPI 1306162672

  Family Medicine

  NPD (past)
• Vaughn R Meiners Jr., MD

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1710961586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1225449374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 N CAUSEWAY BLVD",
            "address_2": "SUITE 2550",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028194",
            "telephone_number": "504-681-8259",
            "fax_number": "504-681-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-926-7200",
            "fax_number": "225-706-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "504-681-8532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Capital Area Human Services District (Children's Behavioral Health)
• Capital Area Human Services District School Based Services
• Capital City Chiropractic Group LLC
• Capital City Counseling, LLC
• Capital City Medical Group, L.L.C. (Primary Care Plus)
• Capital City Medical Group, LLC (Stanocola Clinic Ancillary Services)
• Capital City Transit Services LLC
• Capital City Transportation LLC.
• Capital Eyes LLC
• Capital Healthcare Consutants, LLC

• Internal Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.