Individual provider Active NPI

Livia M Capuy, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1487729539
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036646 Issued in GA
Practice address
1111 Garredd Blvd
Suite a
Augusta, GA 30909-6674
Phone
(706) 863-5776
Fax
(706) 868-7057
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036646 GA Primary

Addresses

Primary practice location

1111 Garredd Blvd
Suite a
Augusta, GA 30909-6674

Mailing address

1111 Garredd Blvd
Suite a
Augusta, GA 30909-6674
Phone (706) 863-5776

Other identifiers 1

IdentifierTypeStateIssuer
00560777AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102002817 GA Practitioner - Family Practice 5395042469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036646GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1487729539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-863-5776",
            "fax_number": "706-868-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GARREDD BLVD",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096674",
            "telephone_number": "706-863-5776",
            "fax_number": "706-868-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUY",
        "first_name": "LIVIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00560777A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.