Organization Active NPI

1 Stop Doc

  • Medical Specialty Clinic/Center
  • Newnan, GA
National Provider Identifier
1982434304
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
1 STOP DOC
Doing business as
1 Stop Doc
Practice address
20 Springwater SHRS
Newnan, GA 30265-3822
Phone
(404) 670-9340
NPI assigned
Aug 2, 2024
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Yetrevias Seymour, DNPNPI 1790170272
Title
Owner
Phone
(404) 670-9340

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

20 Springwater SHRS
Newnan, GA 30265-3822

Mailing address

20 Springwater SHRS
Newnan, GA 30265-3822
Phone (404) 670-9340

Other names 1

  • 1 Stop Doc Doing business as

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, 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": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1982434304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SPRINGWATER SHRS",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653822",
            "telephone_number": "404-670-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SPRINGWATER SHRS",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653822",
            "telephone_number": "404-670-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 STOP DOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "YETREVIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-670-9340",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 Stop Doc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.