Capital City MD, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CAPITAL CITY MD, LLC

Practice address

5700 Hillandale Dr Ste 150a
Lithonia, GA 30058-4120

Phone

(404) 267-5566

Fax

(404) 267-5565

NPI assigned

Mar 14, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Brodie

Title

Billing Supervisor

Phone

(404) 267-5566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1316695992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "404-267-5566",
            "fax_number": "404-267-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 HILLANDALE DR STE 150A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584120",
            "telephone_number": "404-267-5566",
            "fax_number": "404-267-5565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4294 Memorial Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300321226",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Cleveland Ave SW Ste 414",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303157119",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 SR 20",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "30058",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6452 S Lee St Ste 8A",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302601776",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3286 Buckeye Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303414228",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Medical Way Ste F2",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742533",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL CITY MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "404-267-5566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pbrodie@gainterventionalmedicine.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "3286 Buckeye Rd",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303414228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marsha Darnell Canning, LD
• Angela Cannon, NCC
• Michael L Cannon
• Patrice Cannon, LCSW
• Michael Cantrell, DPM
• Capoe LLC
• Capstone Medical Group
• Marlene Ms Carby
• Timothy Card
• Velma D Carey-Samuels

• Interventional Pain Medicine Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.