Arthur Thomas Coppley, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100316 Issued in NC

Practice address

190 Kimel Park Dr
Winston-Salem, NC 27103-6946

Phone

(336) 768-3296

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Department of Veterans Affairs

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1073863197
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1639139512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PETREA RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272958532",
            "telephone_number": "336-787-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KIMEL PARK DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPLEY",
        "first_name": "ARTHUR",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION",
            "identifier": "100316",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Brent Copeland, M.D.
• Maike Naumann Copeland, M.D.
• Stephen Jeffrey Copeland, MD
• Ann Dixon Coppage
• Joseph Benjamin Copper Jr., P.A.-C.
• Amanda Loraine Corbett, LCMHC
• Jeffrey Corbett, DO
• Pamela D. Corbett, MA, LPA
• Timothy Mark Corbett, MD
• Tressa Anita Corbett, LCSW, LCAS

• Medical Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.