Shelly Lynn Hopko, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

NCO-000008 Issued in GA

Practice address

1117 Morningside Dr
Perry, GA 31069-2905

Phone

(478) 224-1976

NPI assigned

Nov 19, 2024

Sex

Female

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

• Miss Shelly Lynn Beam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDDGAA

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

• N.T. Cardiovascular Center, PC

  • Cardiovascular Disease Physician
  • Perry, GA
  • NPI 1437399276
  NPD
• Georgia Cardiology Center, LLC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1619992138
  NPD (past)

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1104641778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N CHARITY LN",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882366",
            "telephone_number": "478-662-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-224-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKO",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN214567",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "NCO-000008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BEAM",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vara Yvonne Hitchcock, ATC, LAT
• Sabrina Dawn Hobbs, RN, IBCLC
• Kari Dawn Hodges
• Holcomb Motion
• Kerstin Taylor Holt
• Horatio V. Cabasares, MD, PC
• Laura Palma Horne, DPT
• Houston County Board of Education
• Houston County Emergency Group, LLC
• Houston Health Care Complex, Inc

• Acute Care Nurse Practitioner in Perry, GA
• Providers in Perry, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.