Individual provider Active NPI

Yu Xin, APRN

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1265962088
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP223657 Issued in GA
Practice address
4855 River Green Pkwy Ste 520
Duluth, GA 30096-8337
Phone
(678) 417-1588
NPI assigned
Jun 14, 2017
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP223657 GA Primary
Registered Nurse 163W00000X RN223657 GA

Addresses

Primary practice location

4855 River Green Pkwy Ste 520
Duluth, GA 30096-8337

Mailing address

4855 River Green Pkwy Ste 520
Duluth, GA 30096-8337
Phone (678) 417-1588

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
I20220919001613 GA Practitioner - Nurse Practitioner 3870978497 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN223657GAMDRegistered Nurse
APRN-NP223657GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buford-Norcross Primary Care, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 20, 2023 Accepting new patients

Locations

4855 River Green Pkwy
Ste 520
Duluth, GA 30096
Phone (678) 417-1588

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

777 W Peachtree St
Norcross, GA 30071
Phone (770) 246-6100

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1265962088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 520",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968337",
            "telephone_number": "678-417-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVER GREEN PKWY STE 520",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968337",
            "telephone_number": "678-417-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIN",
        "first_name": "YU",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP223657",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN223657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.