Individual provider Active NPI

Julie Anne Pope, PH.D.

  • Counseling Psychologist
  • Lawrenceville, GA
National Provider Identifier
1447378344
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002779 Issued in GA
Practice address
175 Langley Dr
Ste A2
Lawrenceville, GA 30046-6952
Phone
(678) 373-3668
Fax
(866) 373-0873
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY002779 GA Primary

Addresses

Primary practice location

175 Langley Dr
Ste A2
Lawrenceville, GA 30046-6952

Mailing address

175 Langley Dr
Ste A2
Lawrenceville, GA 30046-6952
Phone (678) 373-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000235 GA Practitioner - Clinical Psychologist 7315123809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Psychological Services LLCGroup PAC ID 1850600891, 8 clinicians

Practice addresses (Care Compare)

4073 Hwy 53
Hoschton, GA 30548-2305
Phone (770) 882-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Psychological Services LLC CurrentSince Apr 14, 2023 Accepting new patients

Locations

4073 Highway 53
Hoschton, GA 30548
Phone (770) 882-5884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1447378344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR",
            "address_2": "STE A2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466952",
            "telephone_number": "678-373-3668",
            "fax_number": "866-373-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR",
            "address_2": "STE A2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466952",
            "telephone_number": "678-373-3668",
            "fax_number": "866-373-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.