Individual provider Active NPI

Esther Eunhee Chin, FNP-C

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1154074052
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01221162 Issued in GA
Practice address
600 Professional Dr Ste 210
Lawrenceville, GA 30046-7650
Phone
(770) 995-1537
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01221162 GA Primary

Addresses

Primary practice location

600 Professional Dr Ste 210
Lawrenceville, GA 30046-7650

Mailing address

600 Professional Dr Ste 210
Lawrenceville, GA 30046-7650

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
I20220420000403 GA Practitioner - Nurse Practitioner 4486041597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Allergy and Asthma Clinic PAGroup PAC ID 1254372006, 42 clinicians

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 200
Roswell, GA 30076-5710
Phone (770) 475-0807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01221162GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Allergy & Asthma Clinic PA CurrentSince Apr 14, 2022 Accepting new patients

Locations

100 Old Ball Ground Hwy
#B
Canton, GA 30114
Phone (770) 720-8000

114 Townpark Dr NW
Ste 240
Kennesaw, GA 30144
Phone (770) 485-3723

600 Professional Dr
Ste 210
Lawrenceville, GA 30046
Phone (770) 963-8030

1357 Hembree Rd
Ste 200
Roswell, GA 30076
Phone (770) 475-0807

8200 Roberts Dr
Ste 450
Sandy Springs, GA 30350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFBA

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1154074052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467650",
            "telephone_number": "770-995-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ESTHER",
        "middle_name": "EUNHEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F01221162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.