Individual provider Active NPI

Charisse M Hughson Chitolie, FNP

  • Family Nurse Practitioner
  • Duluth, GA
National Provider Identifier
1760993760
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN146393 Issued in GA
Practice address
3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849
Phone
(404) 381-1178
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN146393 GA Primary

Addresses

Primary practice location

3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849

Mailing address

3883 Rogers Bridge Rd Ste 701
Duluth, GA 30097-2849
Phone (443) 416-8899

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180705001176 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 4284980277 Reassigns benefits to 2 organizations
Practice locations: Smyrna, GA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2810 Peachtree Industrial Blvd
Suite D
Duluth, GA 30097-8142
Phone (404) 381-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN146393GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Psychiatry & Neurology CurrentSince Feb 25, 2018 Accepting new patients
Peace of Mine CurrentSince May 19, 2022 Accepting new patients

Locations

3883 Rogers Bridge Rd
Ste 701
Duluth, GA 30097
Phone (219) 973-1246

2810 Peachtree Industrial Blvd
Ste D
Duluth, GA 30097
Phone (404) 381-1178

3188 Atlanta Rd SE
Smyrna, GA 30080
Phone (770) 319-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAGBD

Organizations & group practices 2

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1760993760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD STE 701",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972849",
            "telephone_number": "443-416-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD STE 701",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972849",
            "telephone_number": "404-381-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHSON CHITOLIE",
        "first_name": "CHARISSE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN146393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.