Chris Buchanan Child, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN155127 Issued in GA

Practice address

11 Sherwood Dr
Newnan, GA 30263-1127

Phone

(678) 850-7545

NPI assigned

Jan 20, 2010

Last updated

Sep 23, 2020By the provider in NPPES

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

Other identifiers 4

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Allergy & Asthma of Georgia PC

  • Allergy & Immunology Physician
  • Villa Rica, GA
  • NPI 1578504536
  Medicare reassignment NPD
• Creative Hospice Care Inc

  dba Eternal Faith Hospice and Palliative Care

  • Clinic/Center
  • Bogart, GA
  • NPI 1437897956
  Medicare reassignment NPD
• Center for Allergy and Asthma Southern Crescent

  • Allergy & Immunology Physician
  • Peachtree City, GA
  • NPI 1750902185
  NPD (past)
• Creative Hospice Care, Inc

  dba Eternal Faith Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Bogart, GA
  • NPI 1326330010
  NPD (past)

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1659602381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHERWOOD DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631127",
            "telephone_number": "678-850-7545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Dallas Hwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801264",
            "country_code": "US",
            "telephone_number": "770-459-0620",
            "fax_number": "770-456-7604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILD",
        "first_name": "CHRIS",
        "middle_name": "BUCHANAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479765708B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479765708A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479765708C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479765708D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Chen, M.D.
• Charley A Cheney III, DMD
• Donald Gilbert Cherms Sr., PH.D
• Joanna Veronica Chervinko, FNP-C, APRN
• Shella Chichester
• Childrens Clinic LLC
• Lindsey Baer Childs, MD
• Enga Y Choate, MSW
• Shahin A Chowdhury, DO
• Tanya Christensen, LPC

• Family Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.