Active NPI
Kelley B Dopson, M.D.
- Obstetrics & Gynecology Physician
- Atlanta, GA
National Provider Identifier
1821051814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 025144
- Practice address
- 980 Johnson Fy Rd NE
Suite 720
Atlanta, GA 30342-1626 - Phone
- (404) 252-3898
- Fax
- (404) 843-0719
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 025144 | GA | Primary |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 25144 | GA |
Addresses
Primary practice location
980 Johnson Fy Rd NE
Suite 720
Atlanta, GA 30342-1626
Mailing address
980 Johnson Fy Rd NE
Suite 720
Atlanta, GA 30342-1626
Phone (404) 252-3898
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D29324 | Other | GA | UPIN # |
| 00618626A | Medicaid | GA | |
| 16BDFCX127575 | Other | GA | MEDICARE # |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25144 | GA | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1821051814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 JOHNSON FY RD NE",
"address_2": "SUITE 720",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-252-3898",
"fax_number": "404-843-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 JOHNSON FY RD NE",
"address_2": "SUITE 720",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421626",
"telephone_number": "404-252-3898",
"fax_number": "404-843-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOPSON",
"first_name": "KELLEY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "025144",
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "GA",
"license": "25144",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN #",
"identifier": "D29324",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00618626A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "16BDFCX127575",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.