MR. SUKYOON CHANG PA-C, LAT, ATC
NPI 1295335487
Physician Assistant - Surgical in Spartanburg, SC

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303(864) 582-6396 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Feb 9, 2025, Dec 2, 2024 and 1 more (4 updates tracked since 2020).

About Mr. Sukyoon Chang Pa-c, Lat, Atc NPPES

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

MR. SUKYOON CHANG PA-C, LAT, ATC (NPI 1295335487) is an individual surgical provider in Spartanburg, South Carolina, licensed in South Carolina (5744) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1295335487
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. SUKYOON CHANGCredential: PA-C, LAT, ATC
Location Address1330 BOILING SPRINGS RD STE 1600Spartanburg, SC 29303-4219
Mailing Address1725 Tudor DrAnn Arbor, MI 48103-4445
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2020
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1295335487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SC · 5744
Also ListedPhysician AssistantTaxonomy 363A00000X
1330 BOILING SPRINGS RD STE 1600, Spartanburg, SC 29303

Secondary Practice Location 1

Location 18111 S Emerson AveIndianapolis, IN 46237-8601 · Phone (317) 528-5000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Sukyoon Chang Pa-c, Lat, Atc 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 ID5294256939
PECOS Enrollment IDI20250310003602
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.

Hospital Affiliations CMS Care Compare

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Orthopaedic Surgery (Sports Medicine)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Nurse Practitioner (Gerontology)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Orthopaedic Surgery (Sports Medicine)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303

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 Sukyoon Chang's NPI number?

The NPI number for Sukyoon Chang is 1295335487. It was assigned to this individual provider in the NPPES registry on October 28, 2020.

Where is Sukyoon Chang located?

Sukyoon Chang practices at 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303. The listed phone number is (864) 582-6396.

What is Sukyoon Chang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Sukyoon Chang enrolled in Medicare?

Yes. Sukyoon 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.

What insurance does Sukyoon Chang accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Sukyoon 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 Sukyoon Chang affiliated with any hospitals?

According to CMS data, Sukyoon Chang is affiliated with Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Sukyoon Chang was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.