Individual provider Active NPI

Michele Ann Chen, NP

  • Adult Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1073809307
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN-NP155861 Issued in GA
Practice address
484 Irvin CT Ste 110
Decatur, GA 30030-5406
Phone
(770) 962-3642
Fax
(770) 962-3643
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN155861 GA
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X APRN-NP155861 GA Primary

Addresses

Primary practice location

484 Irvin CT Ste 110
Decatur, GA 30030-5406

Mailing address

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 1

1357 Hembree Rd Ste 220
Roswell, GA 30076-5722
Phone (770) 962-3642

Other practice location 2

4800 Olde Towne Pkwy Ste 110
Marietta, GA 30068-4378
Phone (770) 962-3642

Other practice location 3

455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642

Other practice location 4

100 Liberty Blvd Ste 210
Canton, GA 30114-2852
Phone (770) 962-3642

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000268 GA Practitioner - Nurse Practitioner 0143474452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Maryland School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 220
Roswell, GA 30076-5722
Phone (770) 962-3642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP155861GAMDAdult Health Nurse Practitioner
RN155861GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain and Wellness Center Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Georgia Pain and Wellness Center Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
South Carolina Interventional Pain - a, LLC PastSince Sep 24, 2023 Accepting new patients

Locations

100 Liberty Blvd
Ste 210
Canton, GA 30114

484 Irvin Ct
Ste 110
Decatur, GA 30030
Phone (404) 292-4057

455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889

4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707

1357 Hembree Rd
Ste 220
Roswell, GA 30076

Organizations & group practices 3

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1073809307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 IRVIN CT STE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305406",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1357 Hembree Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765722",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Olde Towne Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300684378",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Philip Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468768",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Liberty Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301142852",
            "country_code": "US",
            "telephone_number": "770-962-3642",
            "fax_number": "770-962-3643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN155861",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "APRN-NP155861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.