Michael John Capriola, MD
Individual provider Active NPI Family Medicine Physician · Dobson, NC
NPI 1992736615 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1992736615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200401481 (NC)
- Practice address
- 105 N Crutchfield St # 2
Dobson, NC 27017-8804 - Phone
- (336) 789-2922
- Fax
- (336) 789-0856
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060109000796 | NC | Practitioner - Emergency Medicine |
4486625167 | Reassigns benefits to 2 organizations |
| I20210614000532 | VA | Practitioner - Family Practice | 4486625167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101272053 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| Hospice of Surry County, Inc | Current |
Accepting new patients | |
| Hospice of Surry County, Inc | Current |
Accepting new patients | |
| NC Emergency Physician Services, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Hospice of Surry County, Inc | Family Medicine | Past | Accepting new patients |
Locations
105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922
117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
1427 Edgewood Dr
Ste 101
Mount Airy, NC 27030
Phone (336) 789-2922
1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922
401 Technology Ln
Ste 200
Mount Airy, NC 27030
Phone (336) 789-2922
1403 S King St
Windsor, NC 27983
Phone (252) 794-6685
7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030
730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200401481 | NC | |
| Family Medicine Physician | 207Q00000X | 101272053 | VA | |
| Family Medicine Physician | 207Q00000X | 200401481 | NC | Yes |
Addresses
Primary practice location
105 N Crutchfield St # 2
Dobson, NC 27017-8804
Mailing address
PO Box 325
Dobson, NC 27017-0325
Phone (336) 789-2922
Other practice location 1
7599 Carrollton Pike Ste C
Galax, VA 24333-6801
Phone (276) 728-1030
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcapriola@mtnvalleyhospice.org |
Other providers in Dobson, NC
- Amy Dee-Lyte Buchanan Keene
- Alyssa Buckenheimer
- Brandy Renee Buckner
- Yarely Cabrera
- Ashley Pamela Camacho
- Carolina Heart Care, PA
- Children'S Center of Surry, Inc
- Choose Life Counseling Services
- Margart Cochran
- Samantha Jean Coe
All providers in Dobson, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.