NPIMap

Individual provider Active NPI

Ted Thomas Chang, M.D.

  • Diagnostic Radiology Physician
  • Cartersville, GA
National Provider Identifier
1871740332
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
071219 Issued in GA
Practice address
960 Joe Frank Harris Pkwy SE
Radiology Dept
Cartersville, GA 30120-2129
Phone
(865) 236-1311
Fax
(678) 928-9759
NPI assigned
Aug 26, 2008
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 071219 GA Primary
Diagnostic Radiology Physician 2085R0202X 0101289610 VA
Diagnostic Radiology Physician 2085R0202X 48791 TN
Diagnostic Radiology Physician 2085R0202X C6354 KY
Vascular & Interventional Radiology Physician 2085R0204X 071219 GA

Addresses

Primary practice location

960 Joe Frank Harris Pkwy SE
Radiology Dept
Cartersville, GA 30120-2129

Mailing address

PO Box 200096
Cartersville, GA 30120-9002
Phone (678) 905-7053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714001911 GA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9830327626 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Radiology Services P CGroup PAC ID 3577454024, 70 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Practice addresses (Care Compare)

101 Regency Park Dr
Suite 100
McDonough, GA 30253-7076
Phone (678) 604-1055

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

1240 Eagles Landing Pkwy
Suite 200
Stockbridge, GA 30281-5173
Phone (678) 604-1055

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (770) 607-7339

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

15 Reinhardt College Pkwy
Suite 105
Canton, GA 30114-5259
Phone (770) 720-3353

222 Perry Hwy
Hawkinsville, GA 31036-6748
Phone (770) 607-7339

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 382-1530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.58 of 100Reported as group
Quality
85.31
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48791TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Imaging Services LLC Diagnostic Radiology CurrentSince Mar 20, 2024 Accepting new patients
Tanner Imaging Center CurrentSince Jun 1, 2022 Accepting new patients
Summit Radiology Services P C Diagnostic Radiology CurrentSince Jul 15, 2014 Accepting new patients
Regenerative Spine and Pain Specialists CurrentSince Apr 18, 2022 Accepting new patients
Toccoa Clinic Medical Associates, LLP CurrentSince Jan 1, 2016 Accepting new patients
Truffles Vein Center, LLC CurrentSince May 1, 2022 Accepting new patients
Tanner Medical Group Inc PastSince Jun 1, 2022 Accepting new patients
Truffles Vein of Central Georgia LLC PastSince May 1, 2022 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

706 Dixie St
Ste 100
Carrollton, GA 30117
Phone (770) 812-8614

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

874 Lanier Ave W
Ste 250
Fayetteville, GA 30214
Phone (404) 618-0995

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEBCD

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1871740332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200096",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209002",
            "telephone_number": "678-905-7053",
            "fax_number": "678-928-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOE FRANK HARRIS PKWY SE",
            "address_2": "RADIOLOGY DEPT",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "865-236-1311",
            "fax_number": "678-928-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TED",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "071219",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289610",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "48791",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "C6354",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "071219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.