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JOHNATHAN HARRY STATHOPOULOS MD
NPI 1073002150
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since May 04, 2018PECOS Enrolled
101 MANNING DRIVE, CB# 7160, CHAPEL HILL, NC 27599(984) 974-3982(984) 974-9646 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johnathan Harry Stathopoulos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNATHAN HARRY STATHOPOULOS MD (NPI 1073002150) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (238207) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073002150
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNATHAN HARRY STATHOPOULOSCredential: MD
Location Address101 MANNING DRIVE, CB# 7160Chapel Hill, NC 27599
Mailing Address101 Manning Dr # 7160Chapel Hill, NC 27514-4220 · (984) 974-3982 · Fax (984) 974-9646
Phone(984) 974-3982
Fax(984) 974-9646
Sole ProprietorYes
Enumeration DateMay 4, 2018
✔ NPI 1073002150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · 238207
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 MANNING DRIVE, Chapel Hill, NC 27599
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnathan Harry Stathopoulos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DENISE LIZNETT TORRES MD, MPH
Internal Medicine (Addiction Medicine)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (917) 900-6690
KEVIN ALEXANDER TAM MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE, OLD CLINIC BUILDING 3020 CAMPUS BOX# 7570
CHAPEL HILL, NC 27599
Orange County (919) 966-4150
ELIZABETH KOTZEN MD
Internal Medicine (Nephrology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-2561
DR. COLLETTE MARIA TILLY MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 962-3624
JOHN TASSO VARVARIKOS
Radiology (Diagnostic Radiology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-6646
DR. KENAN MILES PENASKOVIC MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-4166
ESTHER MIAH MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (984) 974-2194
DR. ANNA SPAGNOLI MD
Pediatrics (Pediatric Endocrinology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-4435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnathan Stathopoulos's NPI number?

The NPI number for Johnathan Stathopoulos is 1073002150. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Johnathan Stathopoulos located?

Johnathan Stathopoulos practices at 101 Manning Drive Cb# 7160, Chapel Hill, NC 27599. The listed phone number is (984) 974-3982.

What is Johnathan Stathopoulos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Johnathan Stathopoulos enrolled in Medicare?

Yes. Johnathan Stathopoulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnathan Stathopoulos was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.