Active NPI
Fangzhou CHI, LAC, MPH
- Internal Medicine Physician
- Doraville, GA
National Provider Identifier
1578055455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 112680
- Practice address
- 5150 Buford Hwy NE Ste B170
Doraville, GA 30340-1163 - Phone
- (678) 232-5425
- NPI assigned
- Jun 5, 2018
- Last updated
- Apr 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260506001325 | GA | Order and Referring Only - Other (Physician) | 6103394390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403 | GA | MD | Marriage & Family Therapist |
| 112680 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.