Michelle Han, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8796 Issued in GA

Practice address

2520 Windy Hill Rd SE Ste 301
Marietta, GA 30067-8695

Phone

(770) 952-1032

Fax

(770) 952-7810

NPI assigned

Aug 23, 2018

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urban Family Practice Associates, P.C.

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1649303975
  NPD
• Urban Family Practice

  • Marriage & Family Therapist
  • Marietta, GA
  • NPI 1215092366
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1578044046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678695",
            "telephone_number": "770-952-1032",
            "fax_number": "770-952-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE STE 301",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678695",
            "telephone_number": "770-952-1032",
            "fax_number": "770-952-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhona Hammond, RBT
• Karon Nachelle Hammonds, KARON HAMMONDS, M.D.
• Alice Hamrick
• Johnathan Hamrick, PHARMD
• Dale Kyung Han, M.D.
• Jordan Elizabeth Hand, RBT
• Handicapped Driver Services, LLC
• Timothy Stevens Hanes, M.D.
• Melissa Genelle Haney, D.C.
• Hanger Prosthetics & Orthotics Inc

• Physician Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.