Individual provider Active NPI

Eric Young Chang, M.D.

  • Interventional Cardiology Physician
  • Carrollton, GA
National Provider Identifier
1962856674
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
83929 Issued in GA
Practice address
129 Bankhead Hwy
Carrollton, GA 30117-3425
Phone
(770) 838-8440
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 83929 GA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 83929 GA

Addresses

Primary practice location

129 Bankhead Hwy
Carrollton, GA 30117-3425

Mailing address

2844 Asteria Pointe
Duluth, GA 30097-5222
Phone (626) 715-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191211003142 GA Practitioner - Internal Medicine 8022304534 Reassigns benefits to 1 organization
I20250113002738 GA Practitioner - Cardiovascular Disease (Cardiology) 8022304534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Georgia Cardiology Associates, PCGroup PAC ID 4385773373, 6 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

129 Bankhead Hwy
Carrollton, GA 30117-3425
Phone (678) 839-7290

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

  • Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
  • Southeastern Regional Medical Center, Inc Hospital, Newnan, GA, CCN 110233
  • Tanner Medical Center-East Alabama Hospital, Wedowee, AL, CCN 011306
  • Higgins General Hospital Hospital, Bremen, GA, CCN 111320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83929GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Morehouse Healthcare, Inc. Multi-Specialty CurrentSince Jan 2, 2020 Accepting new patients
West Georgia Cardiology Associates, PC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
TMC West Georgia Cardiology Inc Multi-Specialty Past Accepting new patients

Locations

720 Westview Dr SW
Atlanta, GA 30310
Phone (404) 756-1383

129 Bankhead Hwy
Carrollton, GA 30117
Phone (678) 839-7290

1595 Cleveland Ave
East Point, GA 30344
Phone (404) 305-8086

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: echang265450@cityofhope.direct-ci.com

Organizations & group practices 4

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.

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1962856674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2844 ASTERIA POINTE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975222",
            "telephone_number": "626-715-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BANKHEAD HWY",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173425",
            "telephone_number": "770-838-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "83929",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "83929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.