CAPSTONE MEDICAL GROUP NPI 1689856981

NPI Information

  • NPI: 1689856981
  • Provider Name: CAPSTONE MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 5900 HILLANDALE DR
    ANNEX E
    LITHONIA, GA
    ZIP 30058
  • Phone: (404) 446-3870

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NPI Details

CAPSTONE MEDICAL GROUP is a specialist in Lithonia, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAPSTONE MEDICAL GROUP NPI is 1689856981. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5900 HILLANDALE DR
ANNEX E
LITHONIA, GA
ZIP 30058-802
Phone: (404) 446-3870
Fax: (404) 446-3875

The provider's authorized official is Clyde Watkins .
The authorized official title is Physician and has the following contact phone number (404) 446-3870.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist036033GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F32267MEDICARE UPINGEORGIA
2GRP7352MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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