Individual provider Active NPI

Dong-Ying Yu-Michaelson, L.AC.

  • Acupuncturist
  • Tucker, GA
National Provider Identifier
1285067363
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000264 Issued in GA
Practice address
5066 Lavista Rd
Tucker, GA 30084-3500
Phone
(770) 493-8181
NPI assigned
Aug 13, 2013
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000264 GA Primary

Addresses

Primary practice location

5066 Lavista Rd
Tucker, GA 30084-3500

Mailing address

664 Lawton Ridge Dr
Lawrenceville, GA 30045-8646
Phone (678) 805-7575

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

LicenseStateTypeSpecialty
000264GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Massage Associates of Atlanta, LLC Past Accepting new patients

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, 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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1285067363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 LAWTON RIDGE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458646",
            "telephone_number": "678-805-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5066 LAVISTA RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843500",
            "telephone_number": "770-493-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU-MICHAELSON",
        "first_name": "DONG-YING",
        "name_prefix": "Ms.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.