Active NPI
Stephen Kwaku Opoku, M.D.
- Psychiatry Physician
- Macon, GA
National Provider Identifier
1982812475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 049600
- Practice address
- 4600 Fulton Mill Rd
Macon, GA 31208-2501 - Phone
- (478) 471-2943
- Fax
- (478) 471-2912
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 049600 | GA | Primary |
Addresses
Primary practice location
4600 Fulton Mill Rd
Macon, GA 31208-2501
Mailing address
335 Wembley Cir
Sandy Springs, GA 30328-6756
Phone (770) 352-9067
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049600 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982812475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 WEMBLEY CIR",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303286756",
"telephone_number": "770-352-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 FULTON MILL RD",
"city": "MACON",
"state": "GA",
"postal_code": "312082501",
"telephone_number": "478-471-2943",
"fax_number": "478-471-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPOKU",
"first_name": "STEPHEN",
"middle_name": "KWAKU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "049600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.