James Austin Capps Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-3332 Issued in AR

Practice address

Conway Interfaith Clinic, Inc
830 North Creek Drive
Conway, AR 72032

Phone

(501) 932-0559

Fax

(501) 932-0227

NPI assigned

Jun 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235336959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PIPPINPOST DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345525",
            "telephone_number": "501-733-9687",
            "fax_number": "888-444-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONWAY INTERFAITH CLINIC, INC",
            "address_2": "830 NORTH CREEK DRIVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-932-0559",
            "fax_number": "501-932-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "JAMES",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Campbell, PA
• Zariah Campbell
• Lexxi Madison Canady
• Rhae Ann Canitz
• Capes Dialysis LLC (Conway Dialysis)
• Laura Carden
• Randall Craig Carlton
• Caroline Michelle Carmack, M.S., CCC-SLP
• Jacquelyn Christine Carmichael
• Katy Carnahan

• Family Medicine Physician in Conway, AR
• Providers in Conway, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.