Individual provider Active NPI

Karen Irwin-Copeland

  • Psychiatry Physician
  • Stockbridge, GA
National Provider Identifier
1073255857
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2021051367 Issued in GA
Practice address
418 Carrington RDG
Stockbridge, GA 30281-7658
Phone
(678) 988-6835
NPI assigned
Apr 11, 2022
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2021051367 GA Primary

Addresses

Primary practice location

418 Carrington RDG
Stockbridge, GA 30281-7658

Mailing address

418 Carrington RDG
Stockbridge, GA 30281-7658
Phone (678) 988-6835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003329 GA Practitioner - Nurse Practitioner 2163967043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

243 London Dr
McDonough, GA 30253-7073

6944 Hwy 85
Suite F
Riverdale, GA 30274

6944 Hwy 85
Suite F
Riverdale, GA 30274-2960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021051367GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Educare Collaborative LLC Current Accepting new patients
Ithaca Behavioral Health LLC Current Accepting new patients
Willow Oak Community Behavioral Health Center CurrentSince Sep 1, 2025 Accepting new patients
Willow Oak Foundation, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

37 Calumet Pkwy
Ste J102
Newnan, GA 30263

6944 Highway 85
Ste F
Riverdale, GA 30274
Phone (770) 683-6946

Organizations & group practices 4

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1073255857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CARRINGTON RDG",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817658",
            "telephone_number": "678-988-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CARRINGTON RDG",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817658",
            "telephone_number": "678-988-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN-COPELAND",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "2021051367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.