NPIMap

Individual provider Active NPI

David P. Chang, M.D.

  • Internal Medicine Physician
  • Easley, SC
National Provider Identifier
1487638581
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20227 Issued in SC
Practice address
704 N a St
Easley, SC 29640-2142
Phone
(864) 859-4480
Fax
(864) 859-3750
NPI assigned
Dec 1, 2005
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20227 SC Primary

Addresses

Primary practice location

704 N a St
Easley, SC 29640-2142

Mailing address

704 N a St
Easley, SC 29640-2142
Phone (864) 859-4480

Other identifiers 1

IdentifierTypeStateIssuer
GP3686MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000776 SC Practitioner - Internal Medicine 9032005319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

704 N a St
Easley, SC 29640-2142
Phone (864) 859-4480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20227SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Palmetto Health Internal Medicine Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

101 Richard St
Easley, SC 29640
Phone (864) 442-8000

106 John St
Easley, SC 29640
Phone (864) 859-2220

106 John St
Ste B
Easley, SC 29640
Phone (864) 855-5104

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

200 Fleetwood Dr
#4
Easley, SC 29640

704 N A St
Easley, SC 29640
Phone (864) 855-4431

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

123 Wg Acker Dr
Pickens, SC 29671
Phone (864) 512-2465

Interoperability endpoints

  • Direct secure messaging: dchang160366@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 64

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

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1487638581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N A ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402142",
            "telephone_number": "864-859-4480",
            "fax_number": "864-859-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N A ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402142",
            "telephone_number": "864-859-4480",
            "fax_number": "864-859-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3686",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.