Active NPI
James Enoch Dopson, M.D.
- Specialist
- Tucker, GA
National Provider Identifier
1285732495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31587
- Practice address
- 1918 Northlake Pkwy
Suite 101
Tucker, GA 30084-7070 - Phone
- (770) 723-9318
- Fax
- (770) 723-0176
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 31587 | GA | Primary |
Addresses
Primary practice location
1918 Northlake Pkwy
Suite 101
Tucker, GA 30084-7070
Mailing address
1918 Northlake Pkwy
Suite 101
Tucker, GA 30084-7070
Phone (770) 723-9318
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31587 | Other | GA | STATE LICENSE |
| 00412475A | Medicaid | GA | |
| 720953488 | Other | GA | TAX ID |
| 000040724 | Other | GA | MEDICAID REF# |
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 |
|---|---|---|---|
| 31587 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E. Dopson, M.D. | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Tucker, GA
- NPI 1851649453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285732495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 NORTHLAKE PKWY",
"address_2": "SUITE 101",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847070",
"telephone_number": "770-723-9318",
"fax_number": "770-723-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 NORTHLAKE PKWY",
"address_2": "SUITE 101",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847070",
"telephone_number": "770-723-9318",
"fax_number": "770-723-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOPSON",
"first_name": "JAMES",
"middle_name": "ENOCH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "31587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "31587",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00412475A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "720953488",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID REF#",
"identifier": "000040724",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.