Individual provider Active NPI

Alexander Kuan Chong Chang, D.O.

  • Emergency Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1336688795
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102206912 Issued in VA
Practice address
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone
(601) 268-8000
NPI assigned
Feb 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4386 TN
Emergency Medicine Physician 207P00000X 26927 MS
Emergency Medicine Physician 207P00000X 0102206912 VA Primary

Addresses

Primary practice location

5001 Hardy St
Hattiesburg, MS 39402-1308

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3331

Other practice location 2

859 Winter St
Lucedale, MS 39452-6603
Phone (160) 194-7316

Other names 1

  • Dr. Alexander Kuan Chong Chang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200615001914 MS Practitioner - Emergency Medicine 5698024099 Reassigns benefits to 4 organizations
I20210715002879 TN Practitioner - Emergency Medicine 5698024099 Reassigns benefits to 3 organizations
I20211122002826 VA Practitioner - Emergency Medicine 5698024099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Touro Un Col of Osteopathic Medicine, New York, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Regional Emergency Physicians, PCGroup PAC ID 3678859477, 118 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Hospital & facility affiliations

  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26927MSMDEmergency Medicine Physician
4386TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Services CurrentSince Jun 1, 2020 Accepting new patients
Community Medical Center CurrentSince Jun 1, 2020 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Western Virginia Regional Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 25, 2021 Accepting new patients
Greene County Family Medical Clinic CurrentSince Jun 1, 2020 Accepting new patients
Tri-Cities Observation Services, PC Emergency Medicine CurrentSince Sep 14, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC Emergency Medicine CurrentSince Jun 25, 2021 Accepting new patients
George Regional ER Physicians CurrentSince Jun 1, 2020 Accepting new patients
Attala Emergency Group LLC Emergency Medicine CurrentSince Jun 16, 2020 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

Interoperability endpoints

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

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1336688795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021308",
            "telephone_number": "601-268-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3331",
            "fax_number": "662-290-3399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 Winter St",
            "address_purpose": "LOCATION",
            "city": "Lucedale",
            "state": "MS",
            "postal_code": "394526603",
            "country_code": "US",
            "telephone_number": "160-194-7316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALEXANDER",
        "middle_name": "KUAN CHONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4386",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26927",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102206912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "CHANG",
            "middle_name": "KUAN CHONG",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.