MEDICARE: CAPITAL INJURY GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1700747128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL INJURY GROUP, LLC

Provider Business Mailing Address
First Line	:	3375 CAPITAL CIR NE BLDG C100
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8700
Country	:	US
Telephone Number	:	850-766-7018
Fax Number	:	850-387-0590

Provider Business Practice Location Address
First Line	:	3375 CAPITAL CIR NE BLDG C100
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8700
Country	:	US
Telephone Number	:	850-766-7018
Fax Number	:	850-387-0590

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	CLAUDE WADE SKINNER II
Credential	:	DC
Telephone Number	:	850-766-7018

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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