Active NPI
Georgia S Copulos
- Audiologist
- Delray Beach, FL
National Provider Identifier
1376717314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY0000658
- Practice address
- 7431 W Atlantic Ave Ste 53
Delray Beach, FL 33446-3506 - Phone
- (561) 495-8783
- Fax
- (561) 495-9101
- NPI assigned
- Apr 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY0000658 | FL | Primary |
Addresses
Primary practice location
7431 W Atlantic Ave Ste 53
Delray Beach, FL 33446-3506
Mailing address
7431 W Atlantic Ave Ste 53
Delray Beach, FL 33446-3506
Phone (561) 495-8783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600007000 | Medicaid | FL | |
| 4899935 | Other | FL | GHI |
Other names 1
- Georgia S Kokkonos
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearusa Inc | Past | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1376717314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7431 W ATLANTIC AVE STE 53",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463506",
"telephone_number": "561-495-8783",
"fax_number": "561-495-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7431 W ATLANTIC AVE STE 53",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334463506",
"telephone_number": "561-495-8783",
"fax_number": "561-495-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPULOS",
"first_name": "GEORGIA",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY0000658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600007000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "4899935",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGIA",
"last_name": "KOKKONOS",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.