Individual provider Active NPI

Jiyun Nancy Chang, MD, MBA

  • Family Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1689376774
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024-03588 Issued in NC
Practice address
709 N Justice St Ste B
Hendersonville, NC 28791-3455
Phone
(828) 696-1255
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2024-03588 NC Primary

Addresses

Primary practice location

709 N Justice St Ste B
Hendersonville, NC 28791-3455

Mailing address

709 N Justice St Ste B
Hendersonville, NC 28791-3455
Phone (828) 696-1255

Other practice location 1

608 Dawson St Ste 103
Wilmington, NC 28401-5712
Phone (910) 387-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260624001931 NC Practitioner - Family Practice 1951760099

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4550 Montgomery Ave
1050N
Bethesda, MD 20814-3304

4550 Montgomery Ave
Suite 1050N
Bethesda, MD 20814-3323

608 Dawson St
Suite 101
Wilmington, NC 28401-5712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: jiyun.chang.1@21884.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1689376774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-696-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST STE B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913455",
            "telephone_number": "828-696-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Dawson St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284015712",
            "country_code": "US",
            "telephone_number": "910-387-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JIYUN",
        "middle_name": "NANCY",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2024-03588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.