Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capstone Medical Clinic LLC

Organization Internal Medicine Physician · NPI 1407436462

Capstone Medical Clinic LLC is an Internal Medicine Physician in Perry, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1023 Keith Dr
Perry, GA 31069-2948
Phone: (478) 988-1100
Fax: (478) 988-8211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1407436462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Bozaard — Cred/Billing Manager · (478) 333-6468
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021
Mailing address1023 Keith Dr, Perry, GA 31069-2948

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