Organization Active NPI

Community Outreach Preventative Care Inc (Copc)

  • Multi-Specialty Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1861299711
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COMMUNITY OUTREACH PREVENTATIVE CARE INC (COPC)
Practice address
11680 Great Oaks Way Ste 170
Alpharetta, GA 30022-2483
Phone
(866) 243-3421
Fax
(314) 754-8111
NPI assigned
Feb 27, 2025
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Ms. Victoria Bells
Title
Ceo
Phone
(618) 979-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

11680 Great Oaks Way Ste 170
Alpharetta, GA 30022-2483

Mailing address

10945 State Bridge Rd Ste 401-115
Alpharetta, GA 30022-8164
Phone (866) 243-3421

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251117000226 GA Part B Supplier - Clinic/Group Practice 1557852753 Receives reassigned benefits from 3 practitioners
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

11680 Great Oaks Way
Ste 620
Alpharetta, GA 30022
Phone (866) 243-3421

10945 State Bridge Rd
Ste 401115
Johns Creek, GA 30022

2323 Shallowford Rd
Ste 107
Marietta, GA 30066

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1861299711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 STATE BRIDGE RD STE 401-115",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228164",
            "telephone_number": "866-243-3421",
            "fax_number": "314-754-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 170",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222483",
            "telephone_number": "866-243-3421",
            "fax_number": "314-754-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OUTREACH PREVENTATIVE CARE INC (COPC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BELLS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-979-5091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.