Wesley Chan, MD, MSC

Primary specialty

Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X

License

12598 Issued in GA

Practice address

1365 Clifton Rd NE # B
Atlanta, GA 30322-1013

Phone

(404) 778-5158

NPI assigned

Sep 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1881200459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 LADSON CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE # B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "GA",
            "license": "12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Chan, MD
• Joshua L. Chan, M.D.
• Patricia Elizabeth Chan
• Sokhak Chan
• Tyler Gregory Chan
• Dartha Kathryn Chance, CCC-SLP
• Susan Ellis Chance, PHD
• Shirley Anne Chancey, PH.D.
• William Roy Chancey
• Swati Chandhoke, MD

• Neuro-ophthalmology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neuro-ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.