1. Home
  2. Directory
  3. Georgia
  4. Calhoun
  5. Internal Medicine
  6. NPI Profile

ANTHONY G CAPTAIN M.D.
NPI 1023035094
Internal Medicine in Calhoun, GA

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 879-4776(706) 879-4781 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2018, Mar 20, 2017 (2 updates tracked since 2017).

About Anthony G Captain M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY G CAPTAIN M.D. (NPI 1023035094) is an individual internal medicine provider in Calhoun, Georgia, licensed in Georgia (039300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1992).

NPPES Registry Identity

NPI1023035094
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANTHONY G CAPTAINCredential: M.D.
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703-7013 · (706) 602-7800
Phone(706) 879-4776
Fax(706) 879-4781
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1992
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 14, 20182 updates tracked since enumeration
✔ NPI 1023035094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 039300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 RED BUD RD NE, Calhoun, GA 30701
Open in Google Maps ↗

Other Identifiers 1

Medicaid000666399DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony G Captain M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749259661
PECOS Enrollment IDI20050228000463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
222 services98 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services43 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers44 claims44 services$18.34 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$919.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers53 claims53 services$91.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN J COYLEWRIGHT M.D.
Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (423) 778-8258
JULIA ANNE RITTENHOUSE MD
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 879-4776
LAURA COTHERN CRNA
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 624-5079
KAWSAR ARSALAN PA-C
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 602-7800
DAVID E KLINE M.D.
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 602-7800
DR. ANGELA HORNE COLEMAN M.D.
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 879-4724
DR. HAK J LEE MD
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701
Gordon County (706) 879-4700
WILLIAM GREGORY KING PTA
Physical Therapy Assistant
1035 RED BUD RD NE
CALHOUN, GA 30701
Gordon County (706) 602-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Captain's NPI number?

The NPI number for Anthony Captain is 1023035094. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Anthony Captain located?

Anthony Captain practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 879-4776.

What is Anthony Captain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Captain enrolled in Medicare?

Yes. Anthony Captain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Captain accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Anthony Captain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Captain affiliated with any hospitals?

According to CMS data, Anthony Captain is affiliated with Hamilton Medical Center, Adventhealth Gordon, Adventhealth Murray and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Captain was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.