Healthcare Provider Details

I. General information

NPI: 1487354080
Provider Name (Legal Business Name): ANNE AYODELE HOPKINS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HOWELL MILL RD NW STE 300
ATLANTA GA
30318-0918
US

IV. Provider business mailing address

1613 HOLLY HILL DR
CONYERS GA
30094-1113
US

V. Phone/Fax

Practice location:
  • Phone: 404-425-1777
  • Fax:
Mailing address:
  • Phone: 770-843-4212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN265304
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberRN265304
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: