Healthcare Provider Details

I. General information

NPI: 1619953817
Provider Name (Legal Business Name): JOHN J SCHOPPE JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 BASCOM CT STE B
COLUMBUS GA
31909-2798
US

IV. Provider business mailing address

113 BASCOM CT STE B
COLUMBUS GA
31909-2798
US

V. Phone/Fax

Practice location:
  • Phone: 706-221-2082
  • Fax: 706-221-2083
Mailing address:
  • Phone: 706-221-2082
  • Fax: 706-221-2083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPOD001546
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPOD001546
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: