Individual provider Active NPI

Christopher Chang, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1457090110
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN203295 Issued in GA
Practice address
640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297
Phone
(478) 745-5455
Fax
(478) 745-2915
NPI assigned
Jun 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN203295 GA Primary

Addresses

Primary practice location

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297

Mailing address

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297
Phone (478) 745-5455

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007001846 GA Practitioner - Nurse Practitioner 6406232842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon Medical Group PCGroup PAC ID 3173511334, 6 clinicians

Practice addresses (Care Compare)

640 Martin Luther King Jr Blvd
Suite 200
Macon, GA 31201-3297
Phone (478) 745-5455

Merit-based Incentive Payment System (MIPS)

Final score
16.6 of 100Reported as individual
Quality
21.67
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon Medical Group PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

640 Mlk Blvd
Ste 200
Macon, GA 31201
Phone (478) 745-5455

Interoperability endpoints

  • Direct secure messaging: cchang1063362@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 1

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1457090110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MARTIN LUTHER KING JR BLVD STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013297",
            "telephone_number": "478-745-5455",
            "fax_number": "478-745-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MARTIN LUTHER KING JR BLVD STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013297",
            "telephone_number": "478-745-5455",
            "fax_number": "478-745-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHRISTOPHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN203295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.