Provider Demographics
NPI:1578665444
Name:CAPPS, DONNA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MICHELLE
Last Name:CAPPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:984-215-4110
Mailing Address - Fax:
Practice Address - Street 1:400 N ENGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542-9290
Practice Address - Country:US
Practice Address - Phone:919-284-4149
Practice Address - Fax:919-284-6008
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101317207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134CAMedicaid
NC89134CAMedicaid
NC2017354Medicare ID - Type Unspecified