Active NPI
Steven Lopatine, M.D.
- Obstetrics & Gynecology Physician
- Stockbridge, GA
National Provider Identifier
1275514465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 046612
- Practice address
- 350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084 - Phone
- (770) 474-1919
- Fax
- (770) 474-7832
- NPI assigned
- Nov 7, 2005
- Last updated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 046612 | GA | Primary |
Addresses
Primary practice location
350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084
Mailing address
350 Country Club Dr
Suite D
Stockbridge, GA 30281-9084
Phone (770) 474-1919
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492356 | Other | GA | AETNA PROVIDER ID |
| 52494178 | Other | GA | BLUE CROSS BLUE SHIELD ID |
| 00821741A | Medicaid | GA | |
| 1024702 | Other | GA | CIGNA ID |
| 1221679 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1275514465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 COUNTRY CLUB DR",
"address_2": "SUITE D",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819084",
"telephone_number": "770-474-1919",
"fax_number": "770-474-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 COUNTRY CLUB DR",
"address_2": "SUITE D",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819084",
"telephone_number": "770-474-1919",
"fax_number": "770-474-7832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPATINE",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "046612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "492356",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "52494178",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00821741A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "1024702",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1221679",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.