Individual provider Active NPI

Sanjeev Kapuria, MD

  • Anesthesiology Physician
  • Carrollton, GA
National Provider Identifier
1912088337
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
057090 Issued in GA
Practice address
526 Bankhead Hwy Ste 101
Carrollton, GA 30117-2463
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 057090 GA Primary

Addresses

Primary practice location

526 Bankhead Hwy Ste 101
Carrollton, GA 30117-2463

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

404 Town Park Blvd
Suite 101
Evans, GA 30809-3471
Phone (706) 922-7246

Other practice location 2

39C Oak Hill Ct Ste 101
Newnan, GA 30265-2392
Phone (770) 962-3642

Other identifiers 7

IdentifierTypeStateIssuer
339463OtherGAWELLCARE CMO
198493OtherGABCBS
G57090MedicaidSC
P00320036OtherGARRMEDICARE
107336457AMedicaidGA
107336457BMedicaidGA
550789920OtherGATRICARE

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
I20060301000115 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7517917107 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Pain Management, P.C.Group PAC ID 0941215032, 3 clinicians
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

404 Town Park Blvd
Suite 101
Evans, GA 30809-3491
Phone (706) 922-7246

526 Bankhead Hwy
Suite 101
Carrollton, GA 30117-2463
Phone (770) 962-3642

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057090GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, P.C. CurrentSince Oct 27, 2018 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Jan 19, 2026 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC Anesthesiology CurrentSince Feb 1, 2006 Accepting new patients
Evans Procedure Center, LLC CurrentSince Oct 19, 2012 Accepting new patients
Georgia Pain and Wellness Center CurrentSince Jan 19, 2026 Accepting new patients

Locations

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

404 Town Park Blvd
Ste 101
Evans, GA 30809
Phone (706) 364-5065

404 Town Park Blvd
Evans, GA 30809
Phone (706) 922-7246

404 Town Park Blvd
Ste 102
Evans, GA 30809
Phone (706) 922-7246

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

39C Oak Hill Ct
Ste 101
Newnan, GA 30265

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1912088337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BANKHEAD HWY STE 101",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172463",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Town Park Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093471",
            "country_code": "US",
            "telephone_number": "706-922-7246",
            "fax_number": "706-922-7247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39C Oak Hill Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652392",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPURIA",
        "first_name": "SANJEEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "057090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE CMO",
            "identifier": "339463",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "198493",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G57090",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00320036",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107336457A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107336457B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "550789920",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.