JERRY LEE HOPPING PAC NPI 1669455366

NPI Information

  • NPI: 1669455366
  • Provider Name: JERRY LEE HOPPING, PAC
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: MEDICAL CENTER BLVD
    WINSTON-SALEM, NC
    ZIP 27157
  • Phone: (336) 716-2255

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NPI Details

Jerry Lee Hopping, PAC is a medical physician assistant in Winston-salem, NC. Jerry Lee Hopping, PAC NPI is 1669455366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157
Phone: (336) 716-2255

The enumeration date for this NPI number is 11/28/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical100129NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12749651AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
2P34367MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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