# MARK E KOPEL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770520876
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 000479 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 09/29/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002072E | — | GA |
| 05 | — | 100002072F | — | GA |
| 01 | — | 1770520876 | NPI | GA |
| 01 | — | 1982637419 | GROUP NPI | GA |
| 01 | — | N360028 | WELLCARE MEDICAID | GA |
| 01 | — | P00194468 | RR MEDICARE | GA |