Active NPI
Primary Care Clinic of Ripley PA
- Family Medicine Physician
- New Albany, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE CLINIC OF RIPLEY PA
- Practice address
- 460 W Bankhead St
New Albany, MS 38652-3319 - Phone
- (662) 539-7444
- Fax
- (662) 837-3760
- NPI assigned
- Jan 27, 2006
- Last updated
- Aug 12, 2024
- 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
- Troy Reuben Cappleman, MD
- Title
- Ao
- Phone
- (662) 539-7444
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
460 W Bankhead St
New Albany, MS 38652-3319
Mailing address
460 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 539-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015964 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D1009442 | Primary Care Clinic of Ripley | Certificate of waiver | Feb 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
460 W Bankhead St
New Albany, MS 38652
Phone (662) 534-4783
1009 City Ave N
Ripley, MS 38663
Phone (662) 539-7444
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Family Medicine Physician
- New Albany, MS
- NPI 1952371387
-
- Nurse Practitioner
- New Albany, MS
- NPI 1639140718
-
- Endocrinology, Diabetes & Metabolism Physician
- New Albany, MS
- NPI 1730386608
-
- Family Nurse Practitioner
- New Albany, MS
- NPI 1649731621
-
- Family Medicine Physician
- Ripley, MS
- NPI 1063482404
-
- Family Nurse Practitioner
- Ripley, MS
- NPI 1972389062
-
- Family Nurse Practitioner
- Ripley, MS
- NPI 1598865362
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1902484017
Family Medicine, MS
-
- Family Nurse Practitioner
- Ripley, MS
- NPI 1659445492
-
- Obstetrics & Gynecology Physician
- New Albany, MS
- NPI 1184633612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1356312623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W BANKHEAD ST",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523319",
"telephone_number": "662-539-7444",
"fax_number": "662-837-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W BANKHEAD ST",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386523319",
"telephone_number": "662-539-7444",
"fax_number": "662-837-3760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE CLINIC OF RIPLEY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-27",
"last_updated": "2024-08-12",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "CAPPLEMAN",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "REUBEN",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "662-539-7444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015964",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.