Individual provider Active NPI

Andrea Czop, D.C.

  • Chiropractor
  • Lawrenceville, GA
National Provider Identifier
1508174822
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008781 Issued in GA
Practice address
3157 Sugarloaf Pkwy
Suite 130
Lawrenceville, GA 30045-9490
Phone
(678) 828-4114
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00684500 NJ
Chiropractor 111N00000X CHIR008781 GA Primary

Addresses

Primary practice location

3157 Sugarloaf Pkwy
Suite 130
Lawrenceville, GA 30045-9490

Mailing address

3157 Sugarloaf Pkwy
Suite 130
Lawrenceville, GA 30045-9490
Phone (678) 828-4114

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

State licenses

LicenseStateTypeSpecialty
38MC00684500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
TCWC Lawrenceville LLC Past Accepting new patients

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": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1508174822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459490",
            "telephone_number": "678-828-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 SUGARLOAF PKWY",
            "address_2": "SUITE 130",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459490",
            "telephone_number": "678-828-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZOP",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00684500",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008781",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2011; 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.