Healthcare Provider Details

I. General information

NPI: 1821331711
Provider Name (Legal Business Name): DANA R. CHAFFIN APRN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7285 HIGHWAY 16, SUITE C
SENOIA GA
30276
US

IV. Provider business mailing address

7285 HIGHWAY 16 STE C
SENOIA GA
30276-3348
US

V. Phone/Fax

Practice location:
  • Phone: 770-599-0505
  • Fax: 770-599-3413
Mailing address:
  • Phone: 770-599-0505
  • Fax: 770-599-3413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN208967
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP208967
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: