Active NPI
Nicola C Chin, MD
- Pediatrics Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 044429
- Practice address
- 35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032 - Phone
- (404) 785-9850
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 044429 | GA | Primary |
Addresses
Primary practice location
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Mailing address
720 Westview Drive SW
Harris BLDG., 100-a
Atlanta, GA 30303
Phone (404) 756-1400
Other practice location 1
1800 Howell Mill Rd NW Ste 550
Atlanta, GA 30318-3099
Phone (404) 756-1290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nchin45780@direct.gmh.edu | 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 |
|---|---|---|---|---|
| I20140805002145 | GA | Practitioner - Pediatric Medicine | 3971720582 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044429 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Morehouse Healthcare, Inc. | Pediatrics | Current | Accepting new patients |
| Privia Pediatric Medical Group of Georgia LLC | Pediatrics | Current | Accepting new patients |
| Kids First Pediatric Group, LLC | Pediatrics | Past | Accepting new patients |
Locations
75 Piedmont Ave NE
Ste 700
Atlanta, GA 30303
Phone (404) 756-1410
1800 Howell Mill Rd NW
Ste 550
Atlanta, GA 30318
Phone (404) 756-1290
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500
720 Westview Dr SW
Bldg 100A
Atlanta, GA 30310
720 Westview Dr SW
Ste 100A
Atlanta, GA 30310
1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086
101 Yorktown Dr
Ste 102
Fayetteville, GA 30214
Phone (770) 460-4281
950 N Glebe Rd
#4000
Arlington, VA 22203
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- nchin2945987@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
GA, Pediatrics
-
- Pediatrics Physician
- Fayetteville, GA
- NPI 1710385513
GA, Pediatrics
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1164465985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WESTVIEW DRIVE SW",
"address_2": "HARRIS BLDG., 100-A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-756-1400",
"fax_number": "770-507-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033032",
"telephone_number": "404-785-9850"
}
],
"practiceLocations": [
{
"address_1": "1800 Howell Mill Rd NW Ste 550",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303183099",
"country_code": "US",
"telephone_number": "404-756-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "NICOLA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "044429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nchin45780@direct.gmh.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "1800 Howell Mill Rd NW Ste 550",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303183099",
"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 Jun 23, 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.