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Active NPI 1568478907 Individual Practitioner Male Practitioner

Dr. Kim Lee Capehart , DDS, PhD, MBA

Dentist - General Practice • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kim Capehart, DDS, PhD, MBA is a registered healthcare professional specializing in Dentist - General Practice in Augusta, GA. Practice services are available at 1430 JOHN WESLEY GILBERT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1430 John Wesley Gilbert Dr

Augusta, GA 309123234

Telephone 7067214276
Fax 7067216778
Associated Practice Facility / Clinic
🏢 Au Dental Associates Facility NPI 1457541781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
124 Specialists

Practicing in Augusta, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN015610

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
ZX3842 (SC)
Medicaid State Provider ID
003236054A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Geoffrey Thompson , DDS, MS

Dentist - Prosthodontics

NPI 1003807603

Doctor of Dental Surgery, Master of Science

Dr. Steven Nelson , DMD

Dentist - Prosthodontics

NPI 1003861352

Doctor of Dental Medicine

Dr. John Hawkins , CRNA, PhD

Nurse Anesthetist, Certified Registered

NPI 1003880196

Certified Registered Nurse Anesthetist, Doctor of Philosophy (Ph.D.)

Dr. Theodore Ravenel , DMD

Dentist - Endodontics

NPI 1013070879

Doctor of Dental Medicine

Dr. Edna Pashley , DMD

Dentist - Pediatric Dentistry

NPI 1033165584

Doctor of Dental Medicine

Dr. Ryan Mooneyham , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1033705066

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2021

Dentist (License #DN015610 in GA)

📍
Updated Business Mailing Address August 24, 2021

Registered at 1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 309120001 (Tel: 7067212371)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2021

Dentist (License #3842 in SC)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as KIM CAPEHART, DDS, PHD, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Dentist (License #DN015610 in GA)

📍
Updated Business Mailing Address September 25, 2018

Registered at 1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 309120001 (Tel: 7067214276)

👤
Provider Name / Credentials Updated September 25, 2018

Recorded as KIM CAPEHART, D.D.S., PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #3842 in SC)

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2018

Registered at 1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 309123234 (Tel: 7067212371)

📍
Updated Business Mailing Address January 25, 2018

Registered at 614 BRIER CRST, EVANS, GA 308090310 (Tel: 8645258442)

👤
Provider Name / Credentials Updated January 25, 2018

Recorded as KIM CAPEHART, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Dentist (License #DNF000391 in GA)

NPI Profile Active November 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2011

Registered at 621 SE MAIN ST, SIMPSONVILLE, SC 296813234 (Tel: 8649637237)

📍
Updated Business Mailing Address November 23, 2011

Registered at PO BOX 80035, SIMPSONVILLE, SC 296800001 (Tel: 8649637237)

👤
Provider Name / Credentials Updated November 23, 2011

Recorded as KIM CAPEHART, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2011

Dentist (License #3842 in SC)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568478907
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: February 19, 2026
Sole Proprietor: No

Mailing Address

1430 John Wesley Gilbert Drive

Augusta, GA 309120001

Phone: 7067212371

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.