Individual provider Active NPI

Fangzhou CHI, LAC, MPH

  • Internal Medicine Physician
  • Doraville, GA
National Provider Identifier
1578055455
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
112680 Issued in GA
Practice address
5150 Buford Hwy NE Ste B170
Doraville, GA 30340-1163
Phone
(678) 232-5425
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 403 GA
Internal Medicine Physician 207R00000X 112680 GA Primary

Addresses

Primary practice location

5150 Buford Hwy NE Ste B170
Doraville, GA 30340-1163

Mailing address

5150 Buford Hwy NE Ste B170
Doraville, GA 30340-1163
Phone (678) 232-5425

Other practice location 1

5755 N Point Pkwy Ste 95
Alpharetta, GA 30022-1150
Phone (678) 232-5425

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506001325 GA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6103394390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
403GAMDMarriage & Family Therapist
112680GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Medical Center, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1578055455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE B170",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401163",
            "telephone_number": "678-232-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE B170",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401163",
            "telephone_number": "678-232-5425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5755 N Point Pkwy Ste 95",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221150",
            "country_code": "US",
            "telephone_number": "678-232-5425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHI",
        "first_name": "FANGZHOU",
        "credential": "LAC, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "403",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "112680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

Verify at the official NPI Registry.