DR. CHARLES CHUNG D.M.D.
NPI 1023279882
Dentist in Marietta, GA

Q: What is Charles Chung's NPI number?

The NPI number for Charles Chung is 1023279882. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Q: What is Charles Chung's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Chung was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2008PECOS Enrolled

2860 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30062(770) 998-5290(770) 552-4795 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Charles Chung D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES CHUNG D.M.D. (NPI 1023279882) is an individual dentist in Marietta, Georgia, licensed in Georgia (DN013756) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023279882

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. CHARLES CHUNGCredential: D.M.D.

Location Address2860 JOHNSON FERRY RD, SUITE 100Marietta, GA 30062-8339

Mailing Address2860 Johnson Ferry Rd, Suite 100Marietta, GA 30062-8339 · (404) 545-4633

Phone(770) 998-5290

Fax(770) 552-4795

Sole ProprietorNo

Enumeration DateJune 24, 2008

Last NPPES UpdateJuly 19, 2010

✔ NPI 1023279882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in GA · DN013756

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2860 JOHNSON FERRY RD, Marietta, GA 30062

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Chung D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Chung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ethne Health

18 mi

Dental

4122 E PONCE DE LEON AVE STE 5
Clarkston, GA 30021

Reassigned Medicare billing, Georgia enrollment
13 clinicians in this Medicare group

NPI 1073389219 (470) 799-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES H LAMB D.D.S.

Dentist

2860 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30062

Cobb County (770) 998-5290

JAMES LAMB D.D.S., P.C.

Dentist (General Practice)

2860 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30062

Cobb County (770) 998-5290

GEORGIA DENTAL CLINIC, P.C.

Dentist (General Practice)

2860 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30062

Cobb County (770) 998-5290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Chung's NPI number?

The NPI number for Charles Chung is 1023279882. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Charles Chung located?

Charles Chung practices at 2860 Johnson Ferry Rd Suite 100, Marietta, GA 30062. The listed phone number is (770) 998-5290.

What is Charles Chung's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charles Chung enrolled in Medicare?

Yes. Charles Chung is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Chung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Chung reassigns Medicare benefits to Ethne Health (Clarkston, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Chung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Chung accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Charles Chung as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Chung was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.