Jenny Chang, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN205660 Issued in GA

Practice address

5955 Jimmy Carter Blvd Ste 40
Norcross, GA 30071-4608

Phone

(404) 610-0158

NPI assigned

Sep 19, 2013

Last updated

Dec 30, 2025By the provider in NPPES

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

Enrolled in GA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.changnp.p1@direct.aicaorthopedics.nextgenshare.com

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.

• Ac Spine & Wellness Center LLC

  • Chiropractor
  • Lawrenceville, GA
  • NPI 1013265479
  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271
  Medicare reassignment NPD

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1972939130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 JIMMY CARTER BLVD STE 40",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 JIMMY CARTER BLVD STE 40",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714608",
            "telephone_number": "404-610-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JENNY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN205660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Medico San Antonio LLC
• Centro Prenatal de Norcross Corp. (Centro Prenatal De Georgia)
• Janet Chakkalapadavil, OTR/L
• Nicole Desiree Chambers
• Hansen A. Chang, M.D.
• Justin Chang, O.D.
• Stacey Allen Chapman, ANP-BC
• Lan Chen
• Willie Y.W. Chen, M.D.
• Brad Michael Cherson, RPH

• Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.