Active NPI
Jing Tan, EMT-A
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
National Provider Identifier
1124824404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- A033724
- Practice address
- 745 Memorial Dr SE
Atlanta, GA 30316-1185 - Phone
- (404) 616-5773
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A033724 | GA | Primary |
Addresses
Primary practice location
745 Memorial Dr SE
Atlanta, GA 30316-1185
Mailing address
1980 Tanglewood Dr
Snellville, GA 30078-3037
Phone (678) 646-3258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A033724 | GA | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1124824404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 TANGLEWOOD DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783037",
"telephone_number": "678-646-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 MEMORIAL DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161185",
"telephone_number": "404-616-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "JING",
"credential": "EMT-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "GA",
"license": "A033724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.