Active NPI
Timothy Wayne Capps, M.D.
- Surgery Physician
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2015-00935
- Practice address
- 1177 N Road St
Elizabeth City, NC 27909-3388 - Phone
- (252) 337-9440
- Fax
- (252) 384-9997
- NPI assigned
- Jul 8, 2009
- Last updated
- Apr 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2015-00935 | NC | Primary |
Addresses
Primary practice location
1177 N Road St
Elizabeth City, NC 27909-3388
Mailing address
1177 N Road St
Elizabeth City, NC 27909-3388
Phone (252) 337-9440
Other practice location 1
203 Earnhart Dr
Suite B
Edenton, NC 27932-8401
Phone (252) 482-5868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Saint Louis University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1177 N Rd St
Elizabeth City, NC 27909-3388
Phone (252) 384-2560
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 27 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Surgery | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
1177 N Road St
Elizabeth City, NC 27909
Phone (252) 337-9440
1177 N Road St
Ste 8600
Elizabeth City, NC 27909
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
Interoperability endpoints
- tcapps489579@direct.sentara.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1942443130
NC, Surgery
-
dba Sentara Urgent Care
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
dba Sentara Neurology Specialists
- Neurology Physician
- Elizabeth City, NC
- NPI 1407124654
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Albemarle Medical Center
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1801025135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-337-9440",
"fax_number": "252-384-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 N ROAD ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093388",
"telephone_number": "252-337-9440",
"fax_number": "252-384-9997"
}
],
"practiceLocations": [
{
"address_1": "203 Earnhart Dr",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Edenton",
"state": "NC",
"postal_code": "279328401",
"country_code": "US",
"telephone_number": "252-482-5868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPPS",
"first_name": "TIMOTHY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2015-00935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
- Eric Matthew Burns, O.D.
- Richard Lee Burns, MD
- Lynn Butler, DO
- Lizette A Butts, LCSW
- Dawson Campbell
- Dianne S. Caprio, D.D.S.
- Care Advantage-North Carolina LLC
- Hannah Margurite Carlisle, MA, LCMHC-A
- Carolina Adventist Retirement Systems Inc (W R Winslow Memorial Home)
- Carolina Behavioral and Therapeutic Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.