Active NPI
Tse-Hwa Johnson Yin, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1053602045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76544
- Practice address
- 3030 Headland Dr SW Ste 600
Atlanta, GA 30311-5437 - Phone
- (470) 832-5973
- Fax
- (877) 887-5316
- NPI assigned
- Apr 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76544 | GA | Primary |
Addresses
Primary practice location
3030 Headland Dr SW Ste 600
Atlanta, GA 30311-5437
Mailing address
PO Box 616788
Orlando, FL 32861-6788
Phone (407) 533-6837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G227905196 | Other | GA | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tsehwa.yin@centerwell.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250203000293 | GA | Order and Referring Only - Internal Medicine | 2769626126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76544 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aylo Health, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Stockbridge, GA
- NPI 1922831445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1053602045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616788",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328616788",
"telephone_number": "407-533-6837",
"fax_number": "407-770-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HEADLAND DR SW STE 600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115437",
"telephone_number": "470-832-5973",
"fax_number": "877-887-5316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIN",
"first_name": "TSE-HWA",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-25",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "76544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G227905196",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tsehwa.yin@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "tsehwa.yin@centerwell.eclinicaldirectplus.com",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3030 Headland Dr SW Ste 600",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303115437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.