Anthony Sopczak, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3669 Issued in TN

Practice address

1320 Decatur Pike
Athens, TN 37303-2418

Phone

(423) 746-1412

Fax

(423) 745-6413

NPI assigned

Apr 23, 2014

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anthony Patrick Sopczak Professional name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1073933529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "423-746-1423",
            "fax_number": "423-745-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 DECATUR PIKE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373032418",
            "telephone_number": "423-746-1412",
            "fax_number": "423-745-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPCZAK",
        "first_name": "ANTHONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "1117328",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "SOPCZAK",
            "middle_name": "PATRICK",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Medical Physician Assistant in Athens, TN
• Providers in Athens, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.