Capstone Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

036033 Issued in GA

Legal business name

CAPSTONE MEDICAL GROUP

Practice address

5900 Hillandale Dr
Annex E
Lithonia, GA 30058-3802

Phone

(404) 446-3870

Fax

(404) 446-3875

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clyde Watkins Jr., M.D.

Title

Physician

Phone

(404) 446-3870

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Yvonne Luster, M.D.

  • Internal Medicine Physician
  • College Park, GA
  • NPI 1043322753
  NPD
• Aileen Robinson, NP

  • Nurse Practitioner
  • Lithonia, GA
  • NPI 1669448999
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1689856981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "ANNEX E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "404-446-3870",
            "fax_number": "404-446-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "ANNEX E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "404-446-3870",
            "fax_number": "404-446-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "404-446-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "036033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Cannon
• Patrice Cannon, LCSW
• Michael Cantrell, DPM
• Capital City MD, LLC
• Capoe LLC
• Marlene Ms Carby
• Timothy Card
• Velma D Carey-Samuels
• Caring Hands Case Management Services
• Stephanie C Carmichael, MD

• Specialist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.