Active NPI
Justin Cho
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1457110645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 113336
- Practice address
- 4500 N Shallowford Rd Ste B
Atlanta, GA 30338-6476 - Phone
- (404) 778-6920
- Fax
- (404) 778-6901
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 113336 | GA | Primary |
Addresses
Primary practice location
4500 N Shallowford Rd Ste B
Atlanta, GA 30338-6476
Mailing address
4500 N Shallowford Rd Ste B
Atlanta, GA 30338-6476
Phone (404) 778-6920
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240513002146 | GA | Order and Referring Only - Family Practice | 9032550744 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1457110645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 N SHALLOWFORD RD STE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386476",
"telephone_number": "404-778-6920",
"fax_number": "404-778-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 N SHALLOWFORD RD STE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386476",
"telephone_number": "404-778-6920",
"fax_number": "404-778-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "113336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.