Active NPI
Anna K Hopla MD PLLC
- Nephrology Physician
- Martin, TN
National Provider Identifier
1689349714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- ANNA K HOPLA MD PLLC
- Practice address
- 148 Mount Pelia Rd
Martin, TN 38237-3812 - Phone
- (731) 200-0365
- Fax
- (731) 200-0366
- NPI assigned
- Aug 11, 2021
- Last updated
- Aug 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill Walsh Byrum
- Title
- Credentialing Manager
- Phone
- (901) 756-5565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
148 Mount Pelia Rd
Martin, TN 38237-3812
Mailing address
764 Walnut Knoll LN
Cordova, TN 38018-3113
Phone (901) 756-5565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2237522 | Anna K Hopla, MD, PLLC | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/JEDFCD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Martin, TN
- NPI 1780683102
-
- Gastroenterology Physician
- Martin, TN
- NPI 1104897032
-
- Gastroenterology Physician
- Gilbert, AZ
- NPI 1194820233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628640000000",
"number": "1689349714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 WALNUT KNOLL LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380183113",
"telephone_number": "901-756-5565",
"fax_number": "901-756-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 MOUNT PELIA RD",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373812",
"telephone_number": "731-200-0365",
"fax_number": "731-200-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNA K HOPLA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-11",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "BYRUM",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "WALSH",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "901-756-5565"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.