CAPITAL DIGESTIVE CARE, LLC
NPI 1912193350
Internal Medicine - Gastroenterology in Virginia Beach, VA

Active since September 19, 2007CLIA 49D2149655 · Waiver
1925 GLENN MITCHELL DR, SUITE 102, VIRGINIA BEACH, VA 23456(757) 464-1644(757) 363-1071 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2025, Jan 7, 2025, Apr 14, 2022 and 5 more (8 updates tracked since 2020).

About Capital Digestive Care, Llc NPPES

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

CAPITAL DIGESTIVE CARE, LLC (NPI 1912193350), doing business as Capital Digestive Care- Princess Anne, is a healthcare organization registered as a gastroenterology in Virginia Beach, Virginia and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 7, 2028 and lists Timothy Short, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912193350
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCAPITAL DIGESTIVE CARE, LLC
Location Address1925 GLENN MITCHELL DR, SUITE 102Virginia Beach, VA 23456-0170
Mailing Address10770 Columbia Pike Ste 400Silver Spring, MD 20901-4462 · (240) 485-5210
Fax(757) 363-1071
Organization SubpartYes
Authorized OfficialTimothy ShortCeo · (757) 803-6483
Enumeration DateSeptember 19, 2007
Last NPPES UpdateAugust 26, 20258 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1912193350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X
1925 GLENN MITCHELL DR, Virginia Beach, VA 23456

Other Names 2

Doing Business AsCapital Digestive Care- Princess Anne
Former Legal Business NameGastrointestinal & Liver Specialist Of Tidewater Pllc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capital Digestive Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20211124000446Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

189

Medicare enrollment records show 189 clinicians reassign Medicare billing to Capital Digestive Care, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 72 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Certified Registered Nurse Anesthetist (CRNA)92
Gastroenterology45
Nurse Practitioner34
Anesthesiology6
Diagnostic Radiology5
Internal Medicine5
Pathology2

Nearest to this location (20)

See all 189
Internal Medicine
NPI 1386008472
1925 GLENN MITCHELL DR STE 102
Virginia Beach, VA 23456
(757) 464-1644
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902827900
1925 GLENN MITCHELL DR STE 102
Virginia Beach, VA 23456
(757) 464-1644
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023773108
1925 GLENN MITCHELL DR STE 102
Virginia Beach, VA 23456
(757) 464-1644
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1811126816
1925 GLENN MITCHELL DR SUITE 102
Virginia Beach, VA 23456
(571) 777-5157
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1194703728
1925 GLENN MITCHELL DR STE 102
Virginia Beach, VA 23456
(757) 464-1644
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104849652
1925 GLENN MITCHELL DRIVE, SUITE 102 GASTROENTEROLOGY CONSULTANTS
Virginia Beach, VA 23456
(757) 464-1644
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700809258
1975 GLENN MITCHELL DR STE 300
Virginia Beach, VA 23456
(757) 507-0170
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912520164
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
(757) 507-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1700903440
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
(757) 470-5570
✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750153920
1881 UNIVERSITY DR
Virginia Beach, VA 23453
(757) 683-4297
✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1407319668
828 HEALTHY WAY STE 300
Virginia Beach, VA 23462
(757) 481-4817
✔ PECOS✔ Accepts Medicare2.9 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306857479
908 PILLOW DR
Virginia Beach, VA 23454
(757) 803-4741
✔ Accepts Medicare6.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255654810
134 BUSINESS PARK DR
Virginia Beach, VA 23462
(757) 473-0044
✔ Accepts Medicare6.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184947707
134 BUSINESS PARK DR
Virginia Beach, VA 23462
(757) 473-0055
✔ Accepts Medicare6.3 mi
Gastroenterology
NPI 1821079146
1020 INDEPENDENCE BLVD SUITE 110
Virginia Beach, VA 23455
(757) 464-1644
✔ PECOS✔ Accepts Medicare6.9 mi
Gastroenterology
NPI 1528046158
1020 INDEPENDENCE BLVD SUITE 110
Virginia Beach, VA 23455
(757) 464-1644
✔ PECOS✔ Accepts Medicare6.9 mi
Gastroenterology
NPI 1053399501
1020 INDEPENDENCE BLVD SUITE 110
Virginia Beach, VA 23455
(757) 464-1644
✔ PECOS✔ Accepts Medicare6.9 mi
Nurse Practitioner
NPI 1144113267
1717 WILL O WISP DR STE 200
Virginia Beach, VA 23454
(757) 481-4817
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1578186862
1717 WILL O WISP DR STE 200
Virginia Beach, VA 23454
(757) 481-4817
✔ PECOS7.1 mi
Internal Medicine
NPI 1609262450
885 KEMPSVILLE RD STE 114
Norfolk, VA 23502
(757) 466-0165
✔ PECOS✔ Accepts Medicare7.5 mi
See all 189 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2149655

Capital Digestive Care · Virginia Beach, VA
Active · expires Jun 7, 2028
CLIA Number49D2149655
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorBrent W. Geissinger
Laboratory Phone(757) 464-1644
Laboratory LocationCapital Digestive Care1925 Glenn Mitchell Drive, Suite 102, Virginia Beach, VA 23456
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Capital Digestive Care, LLC's NPI number?

The NPI number for Capital Digestive Care, LLC is 1912193350. It was assigned to this organization in the NPPES registry on September 19, 2007. The provider is doing business as Capital Digestive Care- Princess Anne. The provider was formerly known as Gastrointestinal & Liver Specialist Of Tidewater PLLC.

Where is Capital Digestive Care, LLC located?

Capital Digestive Care, LLC is located at 1925 Glenn Mitchell Dr Suite 102, Virginia Beach, VA 23456. The listed phone number is (757) 464-1644.

What is Capital Digestive Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Capital Digestive Care, LLC enrolled in Medicare?

Yes. Capital Digestive Care, LLC is registered in the Medicare PECOS enrollment system.

When is Capital Digestive Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Capital Digestive Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 189 clinicians in 7 Medicare specialties reassign their Medicare billing to Capital Digestive Care, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (92), Gastroenterology (45) and Nurse Practitioner (34). Of these, 6 practice at this address and 72 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Capital Digestive Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2149655) is associated with this NPI, valid through June 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital Digestive Care, LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.