NPI Code Detail JSON Logo

1669169371 NPI number — GENNESIS CHRISTINA POPOVICI MS, APC

NPI Number: 1669169371
Health Care Provider/Practitioner: GENNESIS CHRISTINA POPOVICI MS, APC

Information about “1669169371” NPI (GENNESIS CHRISTINA POPOVICI MS, APC) exists in 1669169371 in HTML format HTML  |  1669169371 in plain Text format TXT  |  1669169371 in PDF (Portable Document Format) PDF  |  1669169371 in an XML format XML  formats.

NPI Number : 1669169371 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669169371",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POPOVICI",
    "FirstName": "GENNESIS",
    "MiddleName": "CHRISTINA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, APC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5239 PONDEROSA FARM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30507-8719",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-885-5550",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1400 BUFORD HWY STE R1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUFORD",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30518-8777",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-541-5096",
    "PracticeLocationAddressFaxNumber": "678-541-5186",
    "EnumerationDate": "04/21/2023",
    "LastUpdateDate": "04/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "008581",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.