Individual provider Active NPI

Chris Hoang Le

  • Psychiatric/Mental Health Nurse Practitioner
  • Norcross, GA
National Provider Identifier
1811776461
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN259220 Issued in GA
Practice address
5963 Old Town PL
Norcross, GA 30093-5034
Phone
(404) 966-0053
NPI assigned
Sep 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN259220 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN259220 GA Primary

Addresses

Primary practice location

5963 Old Town PL
Norcross, GA 30093-5034

Mailing address

5963 Old Town PL
Norcross, GA 30093-5034
Phone (404) 966-0053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250227002264 GA Practitioner - Nurse Practitioner 4880114388 Reassigns benefits to 2 organizations
I20260521004400 OR Practitioner - Nurse Practitioner 4880114388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avant Behavioral Consultants IncGroup PAC ID 6709139975, 15 clinicians

Practice addresses (Care Compare)

1810 Mulkey Rd
Suite 202
Austell, GA 30106-1150
Phone (770) 694-6349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN259220GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avant Behavioral Consultants Inc CurrentSince Jan 1, 2025 Accepting new patients
Clearminds Behavioral Health LLC Psychiatric/Mental Health PastSince Jun 18, 2023 Accepting new patients

Locations

1810 Mulkey Rd
Ste 202
Austell, GA 30106
Phone (470) 593-8652

805 Lanier Ave E
Fayetteville, GA 30214

1121 Johnson Ferry Rd
Ste 450
Marietta, GA 30068
Phone (770) 973-8911

880 Marietta Hwy
Ste 630366
Roswell, GA 30075
Phone (573) 999-0193

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1811776461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 OLD TOWN PL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935034",
            "telephone_number": "404-966-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 OLD TOWN PL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935034",
            "telephone_number": "404-966-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CHRIS",
        "middle_name": "HOANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN259220",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN259220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.