Individual provider Active NPI

San Kuo Chang, M.D.

  • Psychiatry Physician
  • Lynchburg, VA
National Provider Identifier
1821382730
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101283659 Issued in VA
Practice address
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone
(434) 200-3000
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME116830 FL
Psychiatry Physician 2084P0800X TRN15977 FL
Psychiatry Physician 2084P0800X MD28377 ME
Psychiatry Physician 2084P0800X 0101283659 VA Primary

Addresses

Primary practice location

1901 Tate Springs Rd
Lynchburg, VA 24501-1109

Mailing address

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 200-3000

Other practice location 1

6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20151014001765 FL Practitioner - PsychiatryPractitioner - Neuropsychiatry 0345483681 Reassigns benefits to 6 organizations
I20241122003390 ME Practitioner - Psychiatry 0345483681
I20250808004208 VA Practitioner - Psychiatry 0345483681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101283659VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 15, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Aug 18, 2018 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
Journey to Restoration, Inc. Psychiatry Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Sep 5, 2016 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Aug 18, 2018 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Aug 18, 2018 Accepting new patients
Mainehealth CurrentSince Sep 19, 2024 Accepting new patients
Winter Haven Hospital Inc CurrentSince Aug 18, 2018 Accepting new patients
Centra Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Centra Health Professional Services, LLC CurrentSince Jun 1, 2025 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Sep 5, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 15, 2021 Accepting new patients
Mainehealth CurrentSince Sep 19, 2024 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Aug 18, 2018 Accepting new patients
Humc Cardiovascular Partners, PC Past Accepting new patients
Mainehealth Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

1106 Druid Rd S
Ste 201
Clearwater, FL 33756
Phone (727) 442-7181

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612

8002 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

25 June St
Sanford, ME 04073
Phone (207) 324-4310

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

Interoperability endpoints

  • Direct secure messaging: schang717232@direct.mmc.mainehealth.org
  • Direct secure messaging: san.changmd@direct.mybaycare.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1821382730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011109",
            "telephone_number": "434-200-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011109",
            "telephone_number": "434-200-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Glen Cove Dr",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "ME",
            "postal_code": "048564272",
            "country_code": "US",
            "telephone_number": "207-921-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SAN",
        "middle_name": "KUO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME116830",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN15977",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "MD28377",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101283659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.