Jing Chan

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

3655 Howell Ferry Rd
Duluth, GA 30096-3186

Phone

(770) 790-5437

NPI assigned

Mar 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1194351684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 TELEGRAPH RD",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252452",
            "telephone_number": "248-712-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963186",
            "telephone_number": "770-790-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2429 Cascade Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305197939",
            "country_code": "US",
            "telephone_number": "678-617-2355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 Crestwood Pkwy NW Ste 427",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965135",
            "country_code": "US",
            "telephone_number": "800-920-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Chambers, LPC
• Cenir Chamblee
• Dianna Champ
• Crystal A Champion, PHYSICAL THERAPIST
• Elaine Yiting Chan, PHARMD
• Mukta Chandora, M.D.
• Courtney Chaney
• Jennifer Mayfield Chaney, M. ED
• Hannah Chang, BCBA
• Jonathan Hu Chang, D.M.D.

• Technician/Technologist in Duluth, GA
• Providers in Duluth, GA by specialty
• Technician/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.