Individual provider Active NPI

Chelsae Patricia Kopp, MD

  • Internal Medicine Physician
  • Griffin, GA
National Provider Identifier
1992334866
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
96088 Issued in GA
Practice address
601 S 8TH St FL 3
Griffin, GA 30224-4213
Phone
(470) 935-4047
Fax
(470) 935-6191
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 96088 GA Primary

Addresses

Primary practice location

601 S 8TH St FL 3
Griffin, GA 30224-4213

Mailing address

601 S 8TH St
Griffin, GA 30224-4213
Phone (470) 935-4045

Other practice location 1

1240 Jesse Jewell Pkwy SE Ste 500
Gainesville, GA 30501-3861
Phone (770) 536-9864

Other names 1

  • Dr. Chelsae Patricia Dorenbush Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckeeney373790@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002120 GA Practitioner - HospitalistPractitioner - Internal Medicine 9335509264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

1240 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3861
Phone (770) 534-1117

Hospital & facility affiliations

  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Diagnostic Associates and Clinic, LLC CurrentSince Jan 1, 2026 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Wellstar Cardiovascular Medicine, LLC PastSince Apr 23, 2023 Accepting new patients
Wellstar Spalding Regional Hospital, Inc Past Accepting new patients

Locations

303 Parkway Dr NE
#430
Atlanta, GA 30312
Phone (770) 265-4919

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507

1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501

1240 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (770) 297-1106

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

601 S 8th St
Fl 3
Griffin, GA 30224
Phone (470) 935-4047

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1992334866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244213",
            "telephone_number": "470-935-4045",
            "fax_number": "470-935-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 8TH ST FL 3",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244213",
            "telephone_number": "470-935-4047",
            "fax_number": "470-935-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Jesse Jewell Pkwy SE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013861",
            "country_code": "US",
            "telephone_number": "770-536-9864",
            "fax_number": "470-228-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPP",
        "first_name": "CHELSAE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckeeney373790@directwellstar.org",
            "affiliation": "N",
            "address_1": "601 S 8th St Fl 3",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSAE",
            "last_name": "DORENBUSH",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.