Individual provider Active NPI

Zhen Zhen Qiu

  • Nurse Practitioner
  • Braselton, GA
National Provider Identifier
1710789201
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN309721 Issued in GA
Practice address
1235 Friendship Rd Ste 100
Braselton, GA 30517-5624
Phone
(770) 536-4352
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN309721 GA Primary

Addresses

Primary practice location

1235 Friendship Rd Ste 100
Braselton, GA 30517-5624

Mailing address

1235 Friendship Rd Ste 100
Braselton, GA 30517-5624
Phone (770) 536-4352

Other practice location 1

2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Phone (770) 536-7401

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN309721GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Otolaryngology 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": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1710789201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 FRIENDSHIP RD STE 100",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175624",
            "telephone_number": "770-536-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 FRIENDSHIP RD STE 100",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305175624",
            "telephone_number": "770-536-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2406 Lighthouse Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305017401",
            "country_code": "US",
            "telephone_number": "770-536-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QIU",
        "first_name": "ZHEN ZHEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN309721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

Verify at the official NPI Registry.