MISS ANNIE KYUNGJIN HAN (NPI# 1962036905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962036905 |
| Entity Type | Individual |
| Full Name | MISS ANNIE KYUNGJIN HAN |
| Credential | NP |
| Practice Address |
1505 Northside Forsyth Drive Suite 2500 Cumming GA 30041 |
| Mailing Address |
1945 Savoy Dr Apt 5205 Atlanta GA 30341-1036 |
| Practice Telephone | 7702924540 |
| Practice Fax Number | 7702924541 |
| Mailing Telephone | 2056012039 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN250618 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992143580 | Annie Yi Han | Dentist | 2100 Ross Ave Ste 960, Dallas, TX 75201-7908 | 2013-06-05 |
| 1376085290 | Annie Han | Registered Nurse | 463 N Magnolia Ave, El Cajon, CA 92020-3606 | 2016-11-09 |
| Street Address |
1505 NORTHSIDE FORSYTH DRIVE SUITE 2500 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| 1427462480 | Ly Le | Pharmacist | 2395 Peachtree Parkway, Cumming, GA 30041 | 2014-06-18 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695081 | Jessica Wysock | Nurse Practitioner | 1400 Northside Forsyth Dr Ste 310, Cumming, GA 30041-6017 | 2019-02-18 |
| 1316101082 | Denise Kathryn Krackenberger | Nurse Practitioner | 6935 Full Harvest Ct., Cumming, GA 30028-4777 | 2008-07-11 |
| 1700343795 | Crystal L Kuhn | Nurse Practitioner | 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041-6017 | 2019-02-26 |
| 1902262611 | Mariah Stone Martin | Nurse Practitioner | 1505 Northside Blvd Ste 3600, Cumming, GA 30041-8245 | 2016-01-11 |
| 1629092853 | Laura P Morris | Nurse Practitioner | 3970 Deputy Bill Cantrell Memorial Rd, Suite 1000, Cumming, GA 30040 | 2006-07-27 |
| 1275559460 | Ohridia Amaki Pope | Nurse Practitioner | 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041-6017 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032114 | Candace Buckley | Nurse Practitioner | 244 Ashland Dr, Woodstock, GA 30189-7161 | 2020-10-29 |
| 1679170740 | Jennifer Lassiter | Nurse Practitioner | 4116 Holley Rd., Lizella, GA 31052 | 2020-10-02 |
| 1891301164 | Tashoy Wallace | Nurse Practitioner | 121 Odyssey Turn, Conyers, GA 30012-3681 | 2020-09-21 |
| 1912513672 | Katherine Anne Sego | Nurse Practitioner | 4060 Rolling Meadows Ln, Watkinsville, GA 30677-3011 | 2020-09-18 |
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1588276505 | Sherron Johnson | Nurse Practitioner | 1980 Wrights Way, Jonesboro, GA 30236-7205 | 2020-08-20 |
| 1942811682 | Ashlee Renee Mack | Nurse Practitioner | 116 Slate Cir, Savannah, GA 31419-9681 | 2020-08-16 |
| 1467063610 | Rosa Maria Phillips | Nurse Practitioner | 649 Amicalola Woods Rd, Dawsonville, GA 30534-1205 | 2020-08-12 |
| 1508476581 | Jarvis Reese | Nurse Practitioner | 413 Tug Ct, Warner Robins, GA 31088-2134 | 2020-08-05 |
| 1750991790 | Akosua Frema Sarfo | Nurse Practitioner | 116 Ginkgo Ln, Grovetown, GA 30813-5392 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.