Organization Active NPI

Raymond V. Caputo, M.D.,P.C.

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1275722811
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
039543 Issued in GA
Legal business name
RAYMOND V. CAPUTO, M.D.,P.C.
Practice address
960 Johnson Ferry Rd NE
Suite 226
Atlanta, GA 30342-1631
Phone
(404) 255-0787
Fax
(404) 847-9822
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Raymond Vincent Caputo, M.D.
Title
President
Phone
(404) 255-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 039543 GA Primary

Addresses

Primary practice location

960 Johnson Ferry Rd NE
Suite 226
Atlanta, GA 30342-1631

Mailing address

960 Johnson Ferry Rd NE
Suite 226
Atlanta, GA 30342-1631
Phone (404) 255-0787

Other identifiers 1

IdentifierTypeStateIssuer
019492OtherGAMEDICAL PRACTICE

National Provider Directory

National Provider Directory

Locations

960 Johnson Ferry Rd
Ste 226
Sandy Springs, GA 30342
Phone (404) 255-0787

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1275722811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE",
            "address_2": "SUITE 226",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421631",
            "telephone_number": "404-255-0787",
            "fax_number": "404-847-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FERRY RD NE",
            "address_2": "SUITE 226",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421631",
            "telephone_number": "404-255-0787",
            "fax_number": "404-847-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND V. CAPUTO, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-255-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "039543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PRACTICE",
            "identifier": "019492",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.