Organization Active NPI

Hopkins Family Dentistry LLC

  • Dentist
  • St Simons Island, GA
National Provider Identifier
1700286291
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014669 Issued in GA
Legal business name
HOPKINS FAMILY DENTISTRY LLC
Practice address
300 Main St
Suite 101
St Simons Island, GA 31522-1666
Phone
(912) 638-9001
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Charles Thomas Hopkins III, D.M.D.NPI 1811330301
Title
Dentist
Phone
(770) 468-4685

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN014669 GA Primary

Addresses

Primary practice location

300 Main St
Suite 101
St Simons Island, GA 31522-1666

Mailing address

300 Main St
Suite 101
St Simons Island, GA 31522-1666
Phone (912) 638-9001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122001206 GA DME Supplier - Oral Surgery - Dentist 4688911266 Practice locations: St Simons Island, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1700286291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "SUITE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221666",
            "telephone_number": "912-638-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "SUITE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221666",
            "telephone_number": "912-638-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-468-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.