Individual provider Active NPI

Andrew Chanyang Rho, DO

  • Adult Medicine Physician
  • Carrollton, GA
National Provider Identifier
1003444605
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
96237 Issued in GA
Practice address
706 Dixie St Ste 300
Carrollton, GA 30117-3890
Phone
(770) 834-6208
Fax
(770) 830-7620
NPI assigned
Mar 30, 2020
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 96237 GA Primary

Addresses

Primary practice location

706 Dixie St Ste 300
Carrollton, GA 30117-3890

Mailing address

706 Dixie St Ste 300
Carrollton, GA 30117-3890
Phone (770) 834-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809001743 GA Practitioner - Internal MedicinePractitioner - Family Practice 3870991409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Michigan State University College of Human Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
West Georgia Internal Medicine PCGroup PAC ID 9133114457, 7 clinicians

Practice addresses (Care Compare)

706 Dixie St
Suite 300
Carrollton, GA 30117-3890
Phone 77083462081020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
West Georgia Internal Medicine PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

101 Doctors Dr
Carrollton, GA 30117
Phone (770) 812-8863

706 Dixie St
Ste 300
Carrollton, GA 30117
Phone (770) 834-6208

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1003444605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 300",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173890",
            "telephone_number": "770-834-6208",
            "fax_number": "770-830-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIXIE ST STE 300",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173890",
            "telephone_number": "770-834-6208",
            "fax_number": "770-830-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHO",
        "first_name": "ANDREW",
        "middle_name": "CHANYANG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "96237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.