Individual provider Active NPI

Tara Williams Chang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Alpharetta, GA
National Provider Identifier
1316112451
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
82005 Issued in GA
Practice address
11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058
Phone
(770) 817-0920
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 222300 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 82005 GA Primary

Addresses

Primary practice location

11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058

Mailing address

11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058
Phone (770) 817-0920

Other practice location 1

11390 Old Roswell Rd Ste 100
Alpharetta, GA 30009-2058
Phone (888) 620-3488

Other practice location 2

4150 Deputy Bill Cantrell Memorial Rd.
Suite 290
Cumming, GA 30040
Phone (404) 446-0600

Other names 1

  • Tara Celeste Williams Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191231001856 GA Practitioner - Pathology 1759435530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert S Smith MD IncGroup PAC ID 7416948740, 9 clinicians

Practice addresses (Care Compare)

11390 Old Roswell Rd
Suite 100
Alpharetta, GA 30009-2058
Phone (888) 581-1201

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
222300MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S. Smith MD, Inc Anatomic Pathology & Clinical Pathology CurrentSince Nov 20, 2019 Accepting new patients
Lab Plus, LLC Current Accepting new patients
True Labs LLC PastSince Nov 1, 2021 Accepting new patients
Robert S. Smith MD, Inc PastSince Nov 20, 2019 Accepting new patients
Gi North PC PastSince Mar 6, 2023 Accepting new patients

Locations

11390 Old Roswell Rd
Ste 100
Alpharetta, GA 30009
Phone (678) 708-4769

1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1316112451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11390 OLD ROSWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092058",
            "telephone_number": "770-817-0920",
            "fax_number": "866-240-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11390 OLD ROSWELL RD STE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092058",
            "telephone_number": "770-817-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11390 Old Roswell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092058",
            "country_code": "US",
            "telephone_number": "888-620-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Deputy Bill Cantrell Memorial Rd.",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30040",
            "country_code": "US",
            "telephone_number": "404-446-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TARA",
        "middle_name": "WILLIAMS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "222300",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "82005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WILLIAMS",
            "middle_name": "CELESTE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.