Organization Active NPI

Joseph P Kropp, P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Statesboro, GA
National Provider Identifier
1356693279
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
PSY0011702 Issued in GA
Legal business name
JOSEPH P KROPP, P.C.
Practice address
108 S Zetterower Ave
Statesboro, GA 30458-4816
Phone
(912) 498-8787
Fax
(912) 489-6603
NPI assigned
Oct 3, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Mandy Myrick
Title
Office Manager
Phone
(912) 489-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PSY0011702 GA Primary

Addresses

Primary practice location

108 S Zetterower Ave
Statesboro, GA 30458-4816

Mailing address

108 S Zetterower Ave
Statesboro, GA 30458-4816
Phone (912) 498-8787

Other identifiers 1

IdentifierTypeStateIssuer
000596703AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1356693279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-498-8787",
            "fax_number": "912-489-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584816",
            "telephone_number": "912-498-8787",
            "fax_number": "912-489-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P KROPP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-489-8787"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "PSY0011702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000596703A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.