Shi Chieh Chang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022396 Issued in GA

Practice address

5008 Buford Hwy Ste a
Chamblee, GA 30341-3531

Phone

(770) 451-1146

Fax

(770) 821-1044

NPI assigned

Dec 15, 2006

Last updated

Oct 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shichieh.chang@042.emedpractice.direct-ci.com

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.

• Atlanta Prime Med

  • Primary Care Clinic/Center
  • Chamblee, GA
  • NPI 1942642616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1619039476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BUFORD HWY STE A",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413531",
            "telephone_number": "770-451-1146",
            "fax_number": "770-821-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 BUFORD HWY STE A",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413531",
            "telephone_number": "770-451-1146",
            "fax_number": "770-821-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SHI CHIEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000312023A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chamblee Dunwoody Family Dentistry LLC
• Chamblee Family Medical Clinic LLC
• Chamblee Medical Clinic (Soren S Thomas MD)
• Dennis Chan, DDS
• Carol Kai-Hua Chang, D.D.S.
• Tatiana Danielle Chapple, LAMFT
• Yi-Tsu Cheng, D.D.S
• Nonye Chijioke-Iheaku, RPH
• Cima Pediatrics CV, LLC (CIMA Kids)
• Circle of Love , Inc

• Family Medicine Physician in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.