Fabian L Chang, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

84209 Issued in GA

Practice address

1020 Jamestown Blvd BLDG 200
Watkinsville, GA 30677-4131

Phone

(706) 769-0005

Fax

(706) 769-0403

NPI assigned

Jun 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fchang121960@direct.chmca.org
• Direct secure messaging: fabian.chang.1@20237.direct.athenahealth.com
• Direct secure messaging: baz2159@yourcarecommunity.org
• Direct secure messaging: fabian.chang.1@28824.direct.athenahealth.com

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.

• Pedsmd LLC

  • Urgent Care Clinic/Center
  • Peachtree Corners, GA
  • NPI 1659064921

  Pediatrics

  NPD Authorized official
• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1659722494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3740",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 JAMESTOWN BLVD BLDG 200",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774131",
            "telephone_number": "706-769-0005",
            "fax_number": "706-769-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "FABIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "84209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hometownpediatrics@605.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "HTP Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1020 Jamestown Blvd Bldg 200",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306774131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Anne Ceneskie
• Javier Centurion, DC
• Anika Brooke Cepican
• Scott M Chamberlain
• Jeffrey W Chambers, PA
• Marguerite Theresa Allen Chappell, MD
• Suneetha Chekuri, MD
• G Steven Chesser Jr., M. D.
• Christian Psychotherapy Resources, Inc.
• Christopher'S Bridge, LLC

• Pediatrics Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.