Individual provider Active NPI

Nana Kwaku Opare, MD

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1003937509
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
058113 Issued in GA
Practice address
1045 Research Center Atlanta Dr SW
Suite a
Atlanta, GA 30331-2034
Phone
(404) 696-1773
Fax
(404) 696-1775
NPI assigned
Apr 2, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 058113 GA
General Practice Physician 208D00000X 058113 GA Primary

Addresses

Primary practice location

1045 Research Center Atlanta Dr SW
Suite a
Atlanta, GA 30331-2034

Mailing address

1045 Research Center Atlanta Dr SW
Suite a
Atlanta, GA 30331-2034
Phone (404) 696-1773

Other identifiers 1

IdentifierTypeStateIssuer
058113OtherGAGEORGIA MEDICAL LICENSE

Other names 1

  • Steven Glenn Stepto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058113GAMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priceless Primary Health Care of Atlanta Inc Past Accepting new patients
Ko-Am Gwinnett Medical General Practice PastSince Feb 26, 2012 Accepting new patients
United Medical Clinic Inc Preventive Medicine/Occupational Environmental Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003937509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 RESEARCH CENTER ATLANTA DR SW",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312034",
            "telephone_number": "404-696-1773",
            "fax_number": "404-696-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 RESEARCH CENTER ATLANTA DR SW",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312034",
            "telephone_number": "404-696-1773",
            "fax_number": "404-696-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARE",
        "first_name": "NANA",
        "middle_name": "KWAKU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "058113",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "058113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "058113",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "STEPTO",
            "middle_name": "GLENN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.