Fan Xu

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

00093 Issued in NU

Practice address

6021 New Peachtree Rd
Doraville, GA 30340-1012

Phone

(770) 455-8851

Fax

(770) 755-5582

NPI assigned

Feb 9, 2018

Last updated

Feb 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shallowford Herbals,LLC

  • Acupuncturist
  • Doraville, GA
  • NPI 1205361748
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1770082323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 NEW PEACHTREE RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401012",
            "telephone_number": "770-455-8851",
            "fax_number": "770-755-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 NEW PEACHTREE RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401012",
            "telephone_number": "770-455-8851",
            "fax_number": "770-755-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "FAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": "00093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiao Wang
• Barry Werman
• Mark Hedge White, RPH., PD
• Ebony Williams, HAIR LOSS SPECIALIST
• Yao Nan Wu, D.C., P.C.
• Yoshiro Yajima, D.C.
• Yw Professional and PFC Trading Alliance Inc (Wai Kiu Famcare Pharmacy)

• Acupuncturist in Doraville, GA
• Providers in Doraville, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.