Grace Chin Yut, MBBS

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

040886 Issued in GA

Practice address

2100 Comer Ave
Columbus, GA 31904-8725

Phone

(706) 321-3729

Fax

(706) 321-3720

NPI assigned

Nov 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316026792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RUDGATE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042947",
            "telephone_number": "705-327-5687",
            "fax_number": "706-327-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-321-3729",
            "fax_number": "706-321-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN YUT",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "040886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "040886",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Mirinda Childers, FNP-C
• Nicklaus Brian Childers, NP-C
• De'Erica C Childs, RBT
• Jeremy Daniel Childs, BT
• Virginia Taylor Childs, PT, DPT
• Linda Mae Chin, M.D.
• Vanessa Leigh Chin, DDS
• El' Malik Chinn, OTR/L
• Charles Dean Chipman, MD
• Wendy Blair Chipman, FNP-BC

• Adult Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.