Taisei Chiba

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

20 Executive Park E
Atlanta, GA 30329

Phone

(803) 477-4339

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1285446229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 LINCOLN COURT AVE NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291815",
            "telephone_number": "803-477-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE PARK E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "803-477-4339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Wheat St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292014347",
            "country_code": "US",
            "telephone_number": "803-777-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20000 NW 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330562674",
            "country_code": "US",
            "telephone_number": "803-477-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIBA",
        "first_name": "TAISEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Chiang, R.D.H.
• Edward Chiang
• Heather Chiappone, AA
• Suzanne Chiappone, PT
• Sheryl Cabalza Chiariello, PA-C
• Chichi Berhane, MD, L.L.C
• Paddyson Chukwuka Chidi, PT
• Mariam Chidmi
• Ashleigh Uzoamaka Chiedo
• Bruce Chien

• Athletic Trainer in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.