Organization Active NPI

Hope Primary Care, PLLC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1497110886
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN13565 Issued in TN
Legal business name
HOPE PRIMARY CARE, PLLC
Practice address
675 Oakleaf Office LN Ste 200
Memphis, TN 38117-4863
Phone
(901) 512-4632
Fax
(901) 512-4684
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Debra Coplon, DNP, DCCNPI 1477706836
Title
Owner
Phone
(901) 512-4632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN13565 TN Primary

Addresses

Primary practice location

675 Oakleaf Office LN Ste 200
Memphis, TN 38117-4863

Mailing address

PO Box 770750
Memphis, TN 38177-0750
Phone (901) 512-4632

Other identifiers 1

IdentifierTypeStateIssuer
1477706836OtherTNNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL npi

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160112002266 TN Part B Supplier - Clinic/Group Practice 6901108661 Receives reassigned benefits from 6 practitioners
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2103083Hope Primary Care, PLLC675 Oakleaf Office Lane, Suite 200, Memphis, TN 38117Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

675 Oakleaf Office Ln
Ste 200
Memphis, TN 38117
Phone (901) 512-4632

5658 S Rex Rd
#200
Memphis, TN 38119
Phone (901) 512-4632

675 Oakleaf Office Ln
Memphis, TN 38117

5658 S Rex Rd
Ste 200
Memphis, TN 38119

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1497110886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770750",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770750",
            "telephone_number": "901-512-4632",
            "fax_number": "901-512-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 OAKLEAF OFFICE LN STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174863",
            "telephone_number": "901-512-4632",
            "fax_number": "901-512-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "COPLON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-512-4632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, DCC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN13565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477706836",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "npi",
            "affiliation": "N",
            "address_1": "675 Oakleaf Office Ln Ste 200",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381174863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.