Individual provider Active NPI

Antonio Chantill Capps, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1548559693
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60587278 Issued in WA
Practice address
294 Summar Dr
Jackson, TN 38301-3915
Phone
(731) 423-1932
Fax
(731) 410-0367
NPI assigned
Mar 29, 2011
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60587278 WA
Emergency Medicine Physician 207P00000X 34988 OK
Family Medicine Physician 207Q00000X 34988 OK
Family Medicine Physician 207Q00000X 49970 TN
Family Medicine Physician 207Q00000X MD60587278 WA Primary

Addresses

Primary practice location

294 Summar Dr
Jackson, TN 38301-3915

Mailing address

294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932

Other practice location 1

5602 SW Lee Blvd
Lawton, OK 73505-9699
Phone (580) 531-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MD, ME, VA, KY, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20130906000270 TN Practitioner - Family PracticePractitioner - Emergency Medicine 8022258821 Reassigns benefits to 6 organizations
I20160525000115 MD Practitioner - Emergency MedicinePractitioner - Family Practice 8022258821 Reassigns benefits to 1 organization
I20171117000646 ME Practitioner - Emergency Medicine 8022258821 Reassigns benefits to 4 organizations
I20171218001009 VA Practitioner - Emergency Medicine 8022258821 Reassigns benefits to 2 organizations
I20230626001294 KY Practitioner - Family PracticePractitioner - Emergency Medicine 8022258821 Reassigns benefits to 2 organizations
I20251218000364 TX Practitioner - Emergency Medicine 8022258821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians
Eagle Creek Emergency Group, PCGroup PAC ID 2466714571, 21 clinicians

Practice addresses (Care Compare)

2011 Murphy Ave
Suite 400
Nashville, TN 37203-2065
Phone (615) 341-7500

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

US Hwy 160 S
MP 394
Kayenta, AZ 86033-0368
Phone (928) 697-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
91.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34988OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
WT University Medical Associates Inc Family Medicine Current Accepting new patients
Emergency Medicine Services of Ky, LLC Emergency Medicine CurrentSince Jun 7, 2025 Accepting new patients
Eagle Creek Emergency Group, PC Emergency Medicine CurrentSince Dec 19, 2024 Accepting new patients
University of Tennessee CurrentSince Apr 1, 2014 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Nov 18, 2025 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Nov 18, 2025 Accepting new patients
Down East Community Hospital CurrentSince Feb 16, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Mar 27, 2019 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Oct 17, 2017 Accepting new patients
Saint Thomas Medical Partners Family Medicine CurrentSince Feb 19, 2026 Accepting new patients
Mainegeneral Medical Center CurrentSince Jan 25, 2020 Accepting new patients
Trigg County Hospital, Inc Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Northern Maine Medical Center CurrentSince Feb 22, 2022 Accepting new patients
Emergency Medicine Services of Maine, LLC Emergency Medicine CurrentSince Mar 30, 2020 Accepting new patients
Trigg County Hospital, Inc Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Jan 25, 2020 Accepting new patients
Down East Community Hospital CurrentSince Feb 16, 2020 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Oct 17, 2017 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Kayenta Alternative Rural Hospital Current Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
University of Tennessee Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 27, 2019 Accepting new patients
Northern Maine Medical Center CurrentSince Feb 22, 2022 Accepting new patients

Locations

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

478 Lovers Ln
Bowling Green, KY 42103
Phone (270) 793-1000

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

149 North St
Waterville, ME 04901
Phone (207) 622-1959

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2011 Murphy Ave
Ste 400
Nashville, TN 37203
Phone (615) 341-7500

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1548559693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013915",
            "telephone_number": "731-423-1932",
            "fax_number": "731-410-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013915",
            "telephone_number": "731-423-1932",
            "fax_number": "731-410-0367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5602 SW Lee Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawton",
            "state": "OK",
            "postal_code": "735059699",
            "country_code": "US",
            "telephone_number": "580-531-4700",
            "fax_number": "580-531-4702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "ANTONIO",
        "middle_name": "CHANTILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60587278",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "34988",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34988",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "49970",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60587278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.