KATHERINE JULIA ZOPPOTH (NPI# 1164071726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164071726 |
| Entity Type | Individual |
| Full Name | KATHERINE JULIA ZOPPOTH |
| Credential | NP |
| Practice Address |
5405 Memorial Dr Ste D Stone Mountain GA 30083-3236 |
| Practice Telephone | 4042963800 |
| Practice Fax Number | 4042978753 |
| Mailing Telephone | 4042963800 |
| Mailing Fax Number | 4042978753 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
233104 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 201914822 | 05 |
| Street Address |
5405 MEMORIAL DR STE D |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30083-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518024504 | Mary Kathleen Allen | Counselor | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2007-01-02 |
| 1487182697 | Stacey Elizabeth Hughes | Nurse Practitioner | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2017-06-01 |
| 1073050449 | Justin Stewart Kitchens | Nurse Practitioner | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2017-01-24 |
| 1699139675 | The Pediatric Center of Stone Mountain | Pediatrics | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2016-04-06 |
| 1427350719 | Lucinda Johnson Sellers | Nurse Practitioner | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2010-11-19 |
| 1104032218 | Laura Renae Wilson | Nurse Practitioner | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2007-05-15 |
| 1861526030 | Laura Lynn Hudson-yedvobnick | Physician Assistant | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
| 1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
| 1447770482 | Dispatched Angels Home Care | In Home Supportive Care | 619 El Prado Court, Stone Mountain, GA 30083 | 2017-06-21 |
| 1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
| 1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
| 1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
| 1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
| 1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
| 1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
| 1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
| Find all providers in zip 30083 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741659 | Lauren Elizabeth Mason | Nurse Practitioner | 2240 W Park Place Blvd, Suite A, Stone Mountain, GA 30087-3543 | 2016-10-17 |
| 1427350719 | Lucinda Johnson Sellers | Nurse Practitioner | 5405 Memorial Dr Ste D, Stone Mountain, GA 30083-3236 | 2010-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565811 | Rebecca Danielle Wegman | Nurse Practitioner | 5445 Meridian Mark Rd Ste 380, Atlanta, GA 30342-4755 | 2020-10-09 |
| 1629675657 | Casey Cullins | Nurse Practitioner | 980 Johnson Fy Rd Ne Ste 680, Atlanta, GA 30342-1608 | 2020-10-02 |
| 1336755289 | Taylor Bishop | Nurse Practitioner | 51 Hidden Lake Ct, Savannah, GA 31419-1664 | 2020-09-16 |
| 1942815717 | Valerie Renee' Grenald | Nurse Practitioner | Augusta University Health, Augusta, GA 30912-0001 | 2020-09-09 |
| 1538798095 | Brittany Nicole Heitkamp | Nurse Practitioner | 5461 Meridian Mark Rd Ste 540, Atlanta, GA 30342-3283 | 2020-04-06 |
| 1629606421 | Anna Elizabeth Patton | Nurse Practitioner | 12 Sammy Mcghee Blvd Ste 102, Jasper, GA 30143-7712 | 2020-03-29 |
| 1093342131 | Lindsay Pare | Nurse Practitioner | 2225 Twin Lakes Dr, Atlanta, GA 30339-4123 | 2020-03-26 |
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1740816487 | Aleksa Rozman | Nurse Practitioner | 1121 Johnson Ferry Rd Ste 220, Marietta, GA 30068-2763 | 2020-03-13 |
| 1912530866 | Rebecca L Brigola | Nurse Practitioner | 4120 Five Forks Trickum Rd Sw Ste 102, Lilburn, GA 30047-8975 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30083 |
Please comment or provide details below to improve the information on KATHERINE JULIA ZOPPOTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.