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JC PLASTIC SURGERY OF ATLANTA, LLC
NPI 1114387040
Surgery - Plastic and Reconstructive Surgery in Atlanta, GA

Active since March 04, 2016
5505 PEACHTREE DUNWOODY RD, SUITE 220, ATLANTA, GA 30342(404) 312-3878(404) 829-1312 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jc Plastic Surgery Of Atlanta, Llc NPPES

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

JC PLASTIC SURGERY OF ATLANTA, LLC (NPI 1114387040) is a healthcare organization registered as a plastic and reconstructive surgery in Atlanta, Georgia and active in the NPI registry since March 2016. The organization lists Yeon-jeen Chang, President, as its authorized official.

NPPES Registry Identity

NPI1114387040
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameJC PLASTIC SURGERY OF ATLANTA, LLC
Location Address5505 PEACHTREE DUNWOODY RD, SUITE 220Atlanta, GA 30342-1705
Mailing Address5505 Peachtree Dunwoody Rd, Suite 220Atlanta, GA 30342-1705 · (404) 312-3878 · Fax (404) 829-1312
Phone(404) 312-3878
Fax(404) 829-1312
Organization SubpartNo
Authorized OfficialYeon-jeen ChangPresident · (404) 312-3878
Enumeration DateMarch 4, 2016
✔ NPI 1114387040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in GA · 63841
Definition
A surgeon who specializes in plastic and reconstructive surgery.
5505 PEACHTREE DUNWOODY RD, Atlanta, GA 30342
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jc Plastic Surgery Of Atlanta, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jc Plastic Surgery Of Atlanta, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yeon-Jeen Chang, M.D.
Plastic and Reconstructive Surgery
NPI 1245351600
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-8902
✔ PECOS✔ Accepts Medicare593 mi

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

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 Jc Plastic Surgery Of Atlanta, LLC's NPI number?

The NPI number for Jc Plastic Surgery Of Atlanta, LLC is 1114387040. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Jc Plastic Surgery Of Atlanta, LLC located?

Jc Plastic Surgery Of Atlanta, LLC is located at 5505 Peachtree Dunwoody Rd Suite 220, Atlanta, GA 30342. The listed phone number is (404) 312-3878.

What is Jc Plastic Surgery Of Atlanta, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jc Plastic Surgery Of Atlanta, LLC enrolled in Medicare?

Yes. Jc Plastic Surgery Of Atlanta, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jc Plastic Surgery Of Atlanta, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Jc Plastic Surgery Of Atlanta, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jc Plastic Surgery Of Atlanta, LLC was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.