DR. SAMUEL CHANG M.D.
NPI 1205127115
Family Medicine in Monroe, GA

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
81.01/100
CMS Quality Rating
1016 E SPRING ST, MONROE, GA 30655(770) 464-0280(770) 464-0233 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Jun 4, 2024 (2 updates tracked since 2024).

About Dr. Samuel Chang M.d. NPPES

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

DR. SAMUEL CHANG M.D. (NPI 1205127115) is an individual family medicine provider in Monroe, Georgia, licensed in Georgia (71477) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1205127115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL CHANGCredential: M.D.
Location Address1016 E SPRING STMonroe, GA 30655-2469
Mailing Address1199 Prince AveAthens, GA 30606-2797
Fax(770) 464-0233
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1205127115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 71477
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 172732 (NC), 71477 (GA)
1016 E SPRING ST, Monroe, GA 30655

Secondary Practice Location 1

Location 11199 Prince AveAthens, GA 30606-2797 · Phone (706) 475-7000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Chang M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901026418
PECOS Enrollment IDI20141006001079
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 Reassignments

2

Medicare enrollment records show Samuel Chang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1016 E SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 17 clinicians in this Medicare group
Emergency Medicine
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
69 services69 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
35 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30655 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.01
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Family Medicine
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655
Family Medicine
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655
Nurse Practitioner (Family)
1016 E SPRING ST
MONROE, GA 30655

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 Samuel Chang's NPI number?

The NPI number for Samuel Chang is 1205127115. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is Samuel Chang located?

Samuel Chang practices at 1016 E Spring St, Monroe, GA 30655. The listed phone number is (770) 464-0280.

What is Samuel Chang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samuel Chang enrolled in Medicare?

Yes. Samuel Chang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samuel Chang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Chang reassigns Medicare benefits to 2 organizations: Our Family Health Center (Monroe, GA) and Georgia Emergency Medicine Specialists, PC (Athens, GA). Each 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 Samuel Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Chang accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Samuel Chang 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.

Is Samuel Chang affiliated with any hospitals?

According to CMS data, Samuel Chang is affiliated with Piedmont Walton Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Chang was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.