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ANSON CHIN
NPI 1033911136
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Active since March 27, 2025PECOS Enrolled
20 HERRELL RD, VILLA RICA, GA 30180(770) 812-3283 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2025, Mar 27, 2025 (2 updates tracked since 2025).

About Anson Chin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANSON CHIN (NPI 1033911136) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (APRN-NP309560) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center Villa Rica, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033911136
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANSON CHIN
Location Address20 HERRELL RDVilla Rica, GA 30180-5527
Mailing Address96 Wellington WalkDouglasville, GA 30134-6364 · (786) 916-1537
Phone(770) 812-3283
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 27, 2025
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1033911136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP309560
20 HERRELL RD, Villa Rica, GA 30180
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anson Chin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608390380
PECOS Enrollment IDI20250403003790
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anson Chin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc-Behavioral Health Of West Georgia
1.5 mi
Geriatric Psychiatry
101 QUARTZ DR STE 103B
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
  • 73 clinicians in this Medicare group
NPI 1356795462 (770) 812-3530
Hamilton Medical Center, Inc.
72 mi
General Acute Care Hospital
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1528056066 (706) 272-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON MOFFATT LPC
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
UBI OKIM
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
THOMAS STUCKEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3294
NOVA MEDICAL SERVICES, LLC
Family Medicine
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 726-7460
JOHN BRIAN GIBSON MA, LPC, CPCS
Counselor (Professional)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 456-3034
MS. STEPHANIE CHRISTINE SKY DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
DR. YESHA MUKESH THAKKAR D.O
Student in an Organized Health Care Education/Training Program
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (630) 873-9445
KAYLA MICHELLE ARNOLD LPC
Counselor (Professional)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anson Chin's NPI number?

The NPI number for Anson Chin is 1033911136. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Anson Chin located?

Anson Chin practices at 20 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 812-3283.

What is Anson Chin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anson Chin enrolled in Medicare?

Yes. Anson Chin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anson Chin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anson Chin reassigns Medicare benefits to 2 organizations: Tmc-Behavioral Health Of West Georgia (Villa Rica, GA) and Hamilton Medical Center, Inc. (Dalton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anson Chin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anson Chin accept?

Health plans from Alliant Health Plans, Inc. list Anson Chin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anson Chin affiliated with any hospitals?

According to CMS data, Anson Chin is affiliated with Tanner Medical Center Villa Rica.

When was this NPI record last updated?

The NPPES record for Anson Chin was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.