Organization Active NPI

Hansen Chang, LLC

  • Specialist
  • Norcross, GA
National Provider Identifier
1598924730
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041414 Issued in GA
Legal business name
HANSEN CHANG, LLC
Practice address
4720 Peachtree Industrial Blvd
Norcross, GA 30071-1547
Phone
(770) 454-9047
Fax
(770) 457-6311
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Maggie Chang
Title
Office Manager
Phone
(770) 454-9047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 041414 GA Primary

Addresses

Primary practice location

4720 Peachtree Industrial Blvd
Norcross, GA 30071-1547

Mailing address

4720 Peachtree Industrial Blvd
Norcross, GA 30071-1547
Phone (770) 454-9047

Other identifiers 2

IdentifierTypeStateIssuer
303274OtherGAWELLCARE
00747843BMedicaidGA

National Provider Directory

National Provider Directory

Locations

4720 Peachtree Industrial Blvd
Berkeley Lake, GA 30071
Phone (404) 900-9583

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1598924730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711547",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711547",
            "telephone_number": "770-454-9047",
            "fax_number": "770-457-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN CHANG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-454-9047"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "041414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "303274",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747843B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.