Atlanta Prime Med

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ATLANTA PRIME MED

Practice address

5008 Buford Hwy
Suite a
Chamblee, GA 30341-3531

Phone

(770) 451-1146

NPI assigned

Jul 23, 2013

Last updated

Jul 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shi-Chieh ChangNPI 1619039476

Title

MD

Phone

(770) 451-1146

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shi Chieh Chang, M.D.

  • Family Medicine Physician
  • Chamblee, GA
  • NPI 1619039476
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1942642616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BUFORD HWY",
            "address_2": "SUITE A",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 BUFORD HWY",
            "address_2": "SUITE A",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303413531",
            "telephone_number": "770-451-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PRIME MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHI-CHIEH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-451-1146",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000312023A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veneranda N Amin, FNP
• Elise L Ashpole, DMD
• Athletic Development and Performance Therapy (Adapt Physical Therapy)
• Atlanta Pediatric Therapy
• Atlanta Pediatric Therapy, Inc.
• Atlanta Spine and Wellness LLC
• Nicole M Bailey, LCSW
• Ariana Barnett
• Gabriela Isabel Bautista, MSN, APRN
• Kyoon Chung Begaye, DDS

• Primary Care Clinic/Center in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.