Active NPI
Cheryl A Copas, MD
- Family Medicine Physician
- Snellville, GA
National Provider Identifier
1114034857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27361
- Practice address
- 1550 Janmar Rd # B
Snellville, GA 30078-5600 - Phone
- (770) 979-9331
- Fax
- (770) 979-8827
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27361 | GA | Primary |
| Family Medicine Physician | 207Q00000X | 22907 | KY |
Addresses
Primary practice location
1550 Janmar Rd # B
Snellville, GA 30078-5600
Mailing address
1550 Janmar Rd # B
Snellville, GA 30078-5600
Phone (770) 979-9331
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005370286 | Other | GA | AETNA |
| 002077 | Other | GA | BCBS |
| 0101777 | Other | GA | UNITED HEALTHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27361 | GA | MD | Family Medicine Physician |
| 22907 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh M. Dejarnette Jr. | Family Medicine | Current | Accepting new patients |
Locations
1550 Janmar Rd
Snellville, GA 30078
Phone (404) 978-3977
1550 Janmar Rd
Ste B
Snellville, GA 30078
Phone (770) 822-3031
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Snellville, GA
- NPI 1154438091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114034857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 JANMAR RD # B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785600",
"telephone_number": "770-979-9331",
"fax_number": "770-979-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 JANMAR RD # B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785600",
"telephone_number": "770-979-9331",
"fax_number": "770-979-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPAS",
"first_name": "CHERYL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "27361",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "22907",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005370286",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "002077",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0101777",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.