Michelle Chun

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN223827 Issued in GA

Practice address

10710 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-2440

Phone

(770) 497-4188

NPI assigned

Oct 26, 2018

Last updated

Dec 12, 2018By 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.chun.1@8258.direct.athenahealth.com

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.

• Health One Medical Group LLC

  • Internal Medicine Physician
  • Johns Creek, GA
  • NPI 1114355260
  Medicare reassignment NPD
• Joli Oculoplastics, LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1285315499
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1487121679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-497-4188",
            "fax_number": "770-497-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972440",
            "telephone_number": "770-497-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1684 Chelsea Falls Ln",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244534",
            "country_code": "US",
            "telephone_number": "770-778-6532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hah Neul Choi, D.D.S.
• Aisha Choudhry
• Christopher Dennis MD PLLC
• Suiza C. Chua, M.D.
• Meenakshi Chugh
• Gene Chung, DMD
• Jane M Chung, MD
• Rebecca C Ciccarelli, MS CCC/SLP
• Cimarron Physical Therapy Inc
• City Dental Clinic 247 LTD (City Dental Clinic)

• Family Nurse Practitioner in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.