Individual provider Active NPI

Alan Keh Cu Chiam, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1912069022
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042554 Issued in GA
Practice address
1188 Ralph David Abernathy Blvd.
Atlanta, GA 30310
Phone
(404) 755-8996
Fax
(404) 755-0520
NPI assigned
Dec 14, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 042554 GA Primary

Addresses

Primary practice location

1188 Ralph David Abernathy Blvd.
Atlanta, GA 30310

Mailing address

10051 5TH Street N.
Suite 200
St. Petersburg, FL 33702-2211
Phone (727) 828-2370

Other identifiers 1

IdentifierTypeStateIssuer
000718913DMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000824 GA Practitioner - Internal Medicine 5496720443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Clinic, PCGroup PAC ID 8426949587, 23 clinicians

Practice addresses (Care Compare)

6330 Primrose Hill CT
Norcross, GA 30092-4544
Phone (770) 903-0120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042554GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Clinic, PC CurrentSince Jan 1, 2017 Accepting new patients
Alan K. Cu Chiam MDPC Past Accepting new patients

Locations

1188 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 755-0570

1861 Peeler Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 730-5800

6330 Primrose Hill Ct
Peachtree Corners, GA 30092
Phone (770) 309-8108

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1912069022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH STREET N.",
            "address_2": "SUITE 200",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337022211",
            "telephone_number": "727-828-2370",
            "fax_number": "404-755-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD.",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "404-755-8996",
            "fax_number": "404-755-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CU CHIAM",
        "first_name": "ALAN",
        "middle_name": "KEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "042554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000718913D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.