Copac Addiction Services
Copac Addiction Services is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Brandon, MS, holding Type 2 (organization) NPI 1073679817 since 2006. The authorized official on file is Wanda Johnson, Family Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073679817 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Copac Addiction Services |
| Practice address | 3949 HIGHWAY 43 N, Brandon, MS, 39047 |
| Phone | 6018292500 |
| Fax | 6018294278 |
| Enumeration date | 2006-12-28 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Wanda Johnson |
|---|---|
| Title | Family Nurse Practitioner |
| Phone | 6018292500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | R586986 | MS |
Copy-ready billing details
Provider: Copac Addiction Services NPI: 1073679817 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 3949 HIGHWAY 43 N, Brandon, MS, 39047
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730289802 | Lloyd Gordon | Individual | Addiction Medicine (Internal Medicine) Physician | Brandon, MS |
| 1801997127 | Karen Holloway | Individual | Psychiatry Physician | Brandon, MS |
| 1235270885 | Copac, Inc. | Organization | Substance Abuse Rehabilitation Facility | Brandon, MS |
Verify this record
Cross-check NPI 1073679817 against the authoritative CMS record: view Copac Addiction Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Copac Addiction Services?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2023-03-07.