DOMINEQUE ARIANE CHHUN NP-C
NPI 1275016776
Nurse Practitioner - Family in Smyrna, GA
About Domineque Ariane Chhun Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINEQUE ARIANE CHHUN NP-C (NPI 1275016776) is an individual family provider in Smyrna, Georgia, licensed in Georgia (255-839) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Domineque Ariane Chhun Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Domineque Chhun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Domineque Chhun's NPI number?
The NPI number for Domineque Chhun is 1275016776. It was assigned to this individual provider in the NPPES registry on September 11, 2018.
Where is Domineque Chhun located?
Domineque Chhun practices at 2670 Cobb Pkwy SE, Smyrna, GA 30080. The listed phone number is (678) 732-1528.
What is Domineque Chhun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Domineque Chhun enrolled in Medicare?
Yes. Domineque Chhun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Domineque Chhun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domineque Chhun reassigns Medicare benefits to Piedmont Professional Services, LLC (Stockbridge, GA). The 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 Domineque Chhun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Domineque Chhun was last updated on January 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Domineque Ariane Chhun, NP-C · NPI 1275016776
Family physician in Smyrna, Georgia. Individual provider, active in the CMS NPPES registry since September 11, 2018.
## Identity
- **NPI:** 1275016776 (Entity type: Individual)
- **Enumerated:** September 11, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 255-839 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2670 COBB PKWY SE, Smyrna, GA 30080-3014
- **Phone:** (678) 732-1528
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275016776) · Data from the CMS NPPES public registry.