Individual provider Active NPI

Katelyn Woods Capers, PA-C

  • Physician Assistant
  • Grovetown, GA
National Provider Identifier
1396254207
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8503 Issued in GA
Practice address
925 Branch CT Ste 101
Grovetown, GA 30813-3325
Phone
(706) 396-1199
Fax
(706) 396-1452
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 70904 GA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 8503 GA Primary

Addresses

Primary practice location

925 Branch CT Ste 101
Grovetown, GA 30813-3325

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 854-6008

Other practice location 1

2260 Wrightsboro Rd
Augusta, GA 30904-4764
Phone (706) 481-7000

Other practice location 2

3486 Peach Orchard Rd Ste 200
Augusta, GA 30906-5215
Phone (706) 828-8049

Other practice location 3

1100 W Lake Commons Dr
Martinez, GA 30907-7932
Phone (706) 250-6919

Other practice location 4

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427001033 GA Practitioner - Physician Assistant 9234493248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Improvement activities
40
Cost
79.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8503GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Prompt Care Current Accepting new patients
University Medical Group LLC Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
Inphynet Primary Care Physicians Southeast PC Physician Assistant Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

1100 West Lake Commons Dr
Martinez, GA 30907
Phone (706) 228-2565

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1396254207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BRANCH CT STE 101",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133325",
            "telephone_number": "706-396-1199",
            "fax_number": "706-396-1452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Wrightsboro Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309044764",
            "country_code": "US",
            "telephone_number": "706-481-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3486 Peach Orchard Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065215",
            "country_code": "US",
            "telephone_number": "706-828-8049",
            "fax_number": "706-828-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 W Lake Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077932",
            "country_code": "US",
            "telephone_number": "706-250-6919",
            "fax_number": "706-250-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPERS",
        "first_name": "KATELYN",
        "middle_name": "WOODS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "70904",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.