Active NPI
Jerin Charuvil
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1972070639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN227168
- Practice address
- 3495 Piedmont Rd NE Ste 121
Atlanta, GA 30305-1717 - Phone
- (470) 684-6262
- Fax
- (470) 275-0904
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN227168 | GA | Primary |
Addresses
Primary practice location
3495 Piedmont Rd NE Ste 121
Atlanta, GA 30305-1717
Mailing address
4272 Trillium Wood TRL
Snellville, GA 30039-6087
Phone (678) 499-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN227168 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1972070639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4272 TRILLIUM WOOD TRL",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300396087",
"telephone_number": "678-499-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 PIEDMONT RD NE STE 121",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051717",
"telephone_number": "470-684-6262",
"fax_number": "470-275-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARUVIL",
"first_name": "JERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN227168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.