Provider Demographics
NPI:1538162318
Name:HOPKINS, GREGORY LEVON (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:LEVON
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 COUNTY ROAD 64
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WOODLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36280
Mailing Address - Country:US
Mailing Address - Phone:256-449-2001
Mailing Address - Fax:256-449-2174
Practice Address - Street 1:76 COUNTY ROAD 64
Practice Address - Street 2:SUITE 3
Practice Address - City:WOODLAND
Practice Address - State:AL
Practice Address - Zip Code:36280
Practice Address - Country:US
Practice Address - Phone:256-449-2001
Practice Address - Fax:256-449-2174
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042062207Q00000X
AL27505207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000781679DMedicaid
AL133910Medicaid
GA042062OtherSTATE MEDICAL LICENSE NUMBER
GA042062OtherSTATE MEDICAL LICENSE NUMBER
GA000781679DMedicaid
GAG66154Medicare UPIN
GA042062OtherSTATE MEDICAL LICENSE NUMBER