Zachariah Chanet, COLLEGE DEGREE

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

270 Carpenter Dr Ste 400
Sandy Springs, GA 30328-4933

Phone

(678) 460-0345

NPI assigned

Dec 4, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Ties Inc.

  • Community/Behavioral Health Agency
  • Sandy Springs, GA
  • NPI 1275753782
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1518437490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 BRYTEN DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR STE 400",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284933",
            "telephone_number": "678-460-0345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Bryten Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301354969",
            "country_code": "US",
            "telephone_number": "678-791-3588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANET",
        "first_name": "ZACHARIAH",
        "name_prefix": "Mr.",
        "credential": "COLLEGE DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-04",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DL",
            "identifier": "056459636",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Alexa Castro, BCBA
• Tyler Cato
• Celia Webb, LPC (Celia Webb, LPC & Associates)
• Kervin Cerne
• Mariam Sheikh Chandler, OTR/L
• Han Byul Chang, RN
• Amy Alread Chapin, PHARMD
• Christine Helene Charras, DC
• Jeremy Chartash, OD
• Chastain Park Dentistry, PC (Chastain Park Dentistry)

• Student in an Organized Health Care Education/Training Program in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.