Individual provider Active NPI

Latrina Lorraine Hopkins

  • Prosthetics Case Management
  • Lawrenceville, GA
National Provider Identifier
1447898937
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CO130421 Issued in GA
Practice address
316 W Pike St Ste 202G
Lawrenceville, GA 30046-4878
Phone
(678) 308-1104
NPI assigned
Dec 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CO130421 GA Primary

Addresses

Primary practice location

316 W Pike St Ste 202G
Lawrenceville, GA 30046-4878

Mailing address

1533 Great Shoals Cir
Lawrenceville, GA 30045-7098
Phone (770) 883-2035

Other practice location 1

4605 Jonesboro Rd
Forest Park, GA 30297-4317
Phone (678) 308-1104

Other identifiers 1

IdentifierTypeStateIssuer
CO130421OtherGAPROSTHETIC SPECIALIST

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO130421GAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Kingdom Crowns Hair Studio CurrentSince Feb 1, 2020 Accepting new patients

Locations

4605 Jonesboro Rd
Forest Park, GA 30297
Phone (678) 308-1104

316 W Pike St
Ste 200H
Lawrenceville, GA 30046

316 W Pike St
Ste 202G
Lawrenceville, GA 30046
Phone (678) 308-1104

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.

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1447898937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 GREAT SHOALS CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457098",
            "telephone_number": "770-883-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W PIKE ST STE 202G",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464878",
            "telephone_number": "678-308-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302974317",
            "country_code": "US",
            "telephone_number": "678-308-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "LATRINA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO130421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSTHETIC SPECIALIST",
            "identifier": "CO130421",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.