Active NPI
Timothy Byeongan Han
- Acupuncturist
- Norcross, GA
National Provider Identifier
1497133383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 456
- Practice address
- 3985 Steve Reynolds Blvd Ste J
Norcross, GA 30093-3068 - Phone
- (470) 550-9101
- Fax
- (800) 886-9976
- NPI assigned
- May 11, 2015
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC15295 | CA | |
| Acupuncturist | 171100000X | 456 | GA | Primary |
Addresses
Primary practice location
3985 Steve Reynolds Blvd Ste J
Norcross, GA 30093-3068
Mailing address
3985 Steve Reynolds Blvd Ste J
Norcross, GA 30093-3068
Phone (470) 550-9101
Other names 1
- Byeongan Han
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC15295 | CA | MD | Acupuncturist |
| 456 | GA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1497133383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3985 STEVE REYNOLDS BLVD STE J",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933068",
"telephone_number": "470-550-9101",
"fax_number": "800-886-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3985 STEVE REYNOLDS BLVD STE J",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933068",
"telephone_number": "470-550-9101",
"fax_number": "800-886-9976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "TIMOTHY",
"middle_name": "BYEONGAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC15295",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BYEONGAN",
"last_name": "HAN",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.