Individual provider Active NPI

Jinyoung Shin, D.C

  • Chiropractor
  • Norcross, GA
National Provider Identifier
1699098947
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008581 Issued in GA
Practice address
4720 Peachtree Industrial Blvd
Suite-4102
Norcross, GA 30071-5735
Phone
(678) 735-7474
Fax
(678) 648-9505
NPI assigned
Mar 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008581 GA Primary

Addresses

Primary practice location

4720 Peachtree Industrial Blvd
Suite-4102
Norcross, GA 30071-5735

Mailing address

4720 Peachtree Industrial Blvd
Suite-4102
Norcross, GA 30071-5735
Phone (678) 735-7474

Other practice location 1

410 US Highway 80 SW
Pooler, GA 31322-2541
Phone (912) 736-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR008581GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Chiropractic LLC Chiropractor Current Accepting new patients

Locations

410 US Highway 80 SW
Pooler, GA 31322
Phone (912) 736-0001

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": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1699098947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE-4102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300715735",
            "telephone_number": "678-735-7474",
            "fax_number": "678-648-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE-4102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300715735",
            "telephone_number": "678-735-7474",
            "fax_number": "678-648-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 US Highway 80 SW",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313222541",
            "country_code": "US",
            "telephone_number": "912-736-0001",
            "fax_number": "912-387-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JINYOUNG",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; 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.