Individual provider Active NPI

Annie Cha, NP

  • Family Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1437997905
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN315430 Issued in GA
Practice address
4375 Johns Creek Pkwy Ste 350
Suwanee, GA 30024-6087
Phone
(770) 622-1622
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN315430 GA Primary

Addresses

Primary practice location

4375 Johns Creek Pkwy Ste 350
Suwanee, GA 30024-6087

Mailing address

4375 Johns Creek Pkwy Ste 350
Suwanee, GA 30024-6087
Phone (678) 350-3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1468 Montreal Rd
Tucker, GA 30084-6901

445 Fair View Cir
Roswell, GA 30076-0138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN315430GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Heart Specialists LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

4120 Five Forks Trickum Rd SW
Ste 103
Lilburn, GA 30047
Phone (470) 545-6702

4375 Johns Creek Pkwy
Ste 350
Suwanee, GA 30024
Phone (770) 622-1622

1468 Montreal Rd
Tucker, GA 30084
Phone (770) 638-1400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFCAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1437997905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 JOHNS CREEK PKWY STE 350",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246087",
            "telephone_number": "678-350-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 JOHNS CREEK PKWY STE 350",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246087",
            "telephone_number": "770-622-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "ANNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN315430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.