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SO MANG CHANG
NPI 1417584467
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
1745 PEACHTREE ST NE STE U, ATLANTA, GA 30309(404) 778-6920(404) 778-6901 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About So Mang Chang NPPES

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

SO MANG CHANG (NPI 1417584467) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2020).

NPPES Registry Identity

NPI1417584467
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSO MANG CHANG
Location Address1745 PEACHTREE ST NE STE UAtlanta, GA 30309-2479
Mailing Address1745 Peachtree St Ne Ste UAtlanta, GA 30309-2479 · (404) 365-0966
Phone(404) 778-6920
Fax(404) 778-6901
Sole ProprietorNo
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1417584467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1745 PEACHTREE ST NE STE U, Atlanta, GA 30309
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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

So Mang Chang 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 ID8820411895
PECOS Enrollment IDI20240309000060
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.

Other Providers at the Same Location NPPES 4

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

MARY CAROLYN MCCONNELL
Counselor (Mental Health)
1745 PEACHTREE ST NE STE U
ATLANTA, GA 30309
Fulton County (404) 545-5161
MRS. CAROLYN R COMMODORE-TURNER LCSW
Social Worker (Clinical)
1745 PEACHTREE ST NE STE U
ATLANTA, GA 30309
Fulton County (404) 365-0966
FARRAH QUARLES LCSW
Social Worker (Clinical)
1745 PEACHTREE ST NE STE U
ATLANTA, GA 30309
Fulton County (404) 364-7285
DANIELLE FRIESON M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1745 PEACHTREE ST NE STE U
ATLANTA, GA 30309
Fulton County (404) 365-0966

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 So Mang Chang's NPI number?

The NPI number for So Mang Chang is 1417584467. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is So Mang Chang located?

So Mang Chang practices at 1745 Peachtree St NE Ste U, Atlanta, GA 30309. The listed phone number is (404) 778-6920.

What is So Mang Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is So Mang Chang enrolled in Medicare?

Yes. So Mang 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.

When was this NPI record last updated?

The NPPES record for So Mang Chang was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.