Active NPI
Sukyoon Chang, PA-C, LAT, ATC
- Surgical Physician Assistant
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5744
- Practice address
- 1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219 - Phone
- (864) 582-6396
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1568454056
-
- Orthopaedic Surgery Physician
- Columbus, NC
- NPI 1083309074
-
- Orthopaedic Surgery Physician
- Duncan, SC
- NPI 1427508209
-
- Neurological Surgery Physician
- Greenville, SC
- NPI 1932668217
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
Care Compare affiliation Hospital -
- Family Medicine Physician
- Spartanburg, SC
- NPI 1326373697
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
Care Compare affiliation Hospital -
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Orthopaedic and Neurosurgical Associates
Practice addresses (Care Compare)
115 Deacon Tiller CT
Duncan, SC 29334-8880
Phone (864) 582-6396
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
220 Roper Mountain Rd Ext
Greenville, SC 29615-4886
Phone (864) 582-6396
Hospital & facility affiliations
- Spartanburg Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250310003602 | SC | Practitioner - Physician Assistant | 5294256939 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5744 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients | |
| Carolina Orthopaedic and Neurosurgical Associates | Surgical | Current | Accepting new patients |
Locations
115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396
220 Roper Mountain Road Ext
Greenville, SC 29615
Phone (864) 242-1163
1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396
1330 Boiling Springs Rd
Ste 1600B
Spartanburg, SC 29303
Phone (864) 582-0019
Interoperability endpoints
- sukyoon.chang.1@26879.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | 5744 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Mailing address
1725 Tudor Dr
Ann Arbor, MI 48103-4445
Other practice location 1
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1295335487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 TUDOR DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481034445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396"
}
],
"practiceLocations": [
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "317-528-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "SUKYOON",
"name_prefix": "Mr.",
"credential": "PA-C, LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "5744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.