Samuel Chang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71477 Issued in GA

Practice address

1016 E Spring St
Monroe, GA 30655-2469

Phone

(770) 464-0280

Fax

(770) 464-0233

NPI assigned

Apr 26, 2011

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Emory University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Family Health CenterGroup PAC ID 7214090364, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Georgia Hospice Care Hospice, Augusta, GA, CCN 111738
• Georgia Hospice Care Hospice, Lawrenceville, GA, CCN 851510

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFIGAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Our Family Health Center

  • Family Medicine Physician
  • Monroe, GA
  • NPI 1184879843
  Medicare reassignment Care Compare group NPD
• Georgia Emergency Medicine Specialists, PC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1316064629
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice Care of Georgia, LLC

  dba Agape Care Group

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1699017335
  Care Compare affiliation
• Lanier Hospice LLC

  dba Georgia Hospice Care

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1184123341
  Care Compare affiliation

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1205127115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552469",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Prince Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062797",
            "country_code": "US",
            "telephone_number": "706-475-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "172732",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "71477",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "71477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Plus Walton Hospitalists, LLC
• Careatc-City of Monroe
• Caring Hearts Personal Home
• Carmichaels Vital Care Pharmacy Inc (Carmichael's Vital Care Pharmacy)
• Center for Medical Resources, Inc
• Leyla Tasmaz Chenevey, D.C.
• Rosemary Chickos, D.O.
• Child & Family Therapy Solutions, Inc.
• Children & Adult Therapy Services
• Terry Supanee Chongulia, M.D.

• Family Medicine Physician in Monroe, GA
• Providers in Monroe, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.