Individual provider Active NPI

Christina Renee Kopsick, NP

  • Family Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1629618806
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN222346 Issued in GA
Practice address
11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456
Phone
(888) 515-3834
Fax
(386) 603-0327
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN222346 GA Primary

Addresses

Primary practice location

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456

Mailing address

11340 Lakefield Dr Ste 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

Other names 1

  • Christina Renee Kopsick Professional name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410002253 GA Practitioner - Nurse Practitioner 0345679494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Dennis MD PLLCGroup PAC ID 7416254990, 72 clinicians

Practice addresses (Care Compare)

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-2456
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN222346GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Hospice of South Georgia, LLC CurrentSince Sep 4, 2023 Accepting new patients
Georgia Treatment Services LLC CurrentSince Sep 22, 2025 Accepting new patients
Southeast Geriatrics Inc CurrentSince Sep 27, 2021 Accepting new patients
TLC of Georgia LLC Family CurrentSince Mar 17, 2020 Accepting new patients
Christopher Dennis MD PLLC CurrentSince Aug 1, 2023 Accepting new patients
Homestead Hospice of Central Georgia, LLC Past Accepting new patients
Homestead Hospice of South Georgia, LLC PastSince Feb 19, 2023 Accepting new patients
Transitional Care Physicians of Georgia PC Past Accepting new patients

Locations

126 S Access Rd
Chula, GA 31733
Phone (229) 520-3052

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

6132 Hawkinsville Rd
Macon, GA 31216
Phone (478) 788-0066

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

564 Crosstown Dr
Peachtree Cty, GA 30269
Phone (770) 282-2944

110 10th St E
Ste A
Tifton, GA 31794
Phone (229) 520-3052

Organizations & group practices 8

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1629618806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972456",
            "telephone_number": "888-515-3834",
            "fax_number": "386-603-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972456",
            "telephone_number": "888-515-3834",
            "fax_number": "386-603-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPSICK",
        "first_name": "CHRISTINA",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN222346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "KOPSICK",
            "middle_name": "RENEE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.