Individual provider Active NPI

Jennifer Miller Capito, PA-C

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1598830994
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004407 Issued in GA
Practice address
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone
(706) 863-9797
Fax
(706) 860-7686
NPI assigned
Nov 21, 2006
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1346 SC
Physician Assistant 363A00000X 004407 GA Primary

Addresses

Primary practice location

3650 J Dewey Gray Cir
Augusta, GA 30909-1867

Mailing address

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

Other practice location 1

1348 Walton Way Ste 5700
Augusta, GA 30901-5110
Phone (706) 774-7022

Other practice location 2

4244 Washington Road
Evans, GA 30809
Phone (706) 760-7607

Other practice location 3

4369 Evans To Locks Rd
Evans, GA 30809-4099
Phone (706) 863-9797

Other names 1

  • Jennifer Gale Miller Former name

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
I20160204001609 GA Practitioner - Physician Assistant 6103120597 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797

4369 Evans to Locks Rd
Evans, GA 30809-4099
Phone (706) 863-9797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004407GAMDPhysician Assistant
1346SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Nov 19, 2019 Accepting new patients
Augusta Orthopedic & Sports Medicine Specialists PC CurrentSince Mar 24, 2025 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

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

3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797

2511 Associates Way
Evans, GA 30809
Phone (706) 722-3401

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

4369 Evans To Locks Rd
Evans, GA 30809
Phone (706) 863-8197

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.capito.1@23890.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1598830994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 J DEWEY GRAY CIR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091867",
            "telephone_number": "706-863-9797",
            "fax_number": "706-860-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Walton Way Ste 5700",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015110",
            "country_code": "US",
            "telephone_number": "706-774-7022",
            "fax_number": "706-774-7023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4244 Washington Road",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "30809",
            "country_code": "US",
            "telephone_number": "706-760-7607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4369 Evans To Locks Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308094099",
            "country_code": "US",
            "telephone_number": "706-863-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPITO",
        "first_name": "JENNIFER",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1346",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER",
            "middle_name": "GALE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.