Dawn Xin Chen, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004418 Issued in GA

Practice address

833 N Hairston Rd
Stone Mountain, GA 30083-3423

Phone

(770) 879-5553

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Stone Mountain Immediate Medical Care, Inc.

  • Health Maintenance Organization
  • Stone Mountain, GA
  • NPI 1578569323

  GA

  Medicare reassignment
• Patriot Healthcare of Georgia, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Stone Mountain, GA
  • NPI 1558830919
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992844526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N HAIRSTON RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833423",
            "telephone_number": "770-879-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "DAWN",
        "middle_name": "XIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "004418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE #",
            "identifier": "004418",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Change Agents Counseling & Consulting, LLC
• Joshua Su-Keong Chao, PHARMD
• Cheryl Anne Charles, P.T.
• Charlotte Web Private Home Care, LLC
• Charnae Loving Care LLC
• Lei Chen, MD, PHD
• Cheryl'S Creations, Inc.
• Andrew Chetcuti, PT, DPT
• Children and Teen Dental Group
• Children First Quality Service

• All providers in Stone Mountain, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.