Individual provider Active NPI

Tse-Hwa Johnson Yin, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053602045
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76544 Issued in GA
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G227905196OtherGAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000293 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2769626126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76544GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.