SO MANG CHANG
NPI 1417584467
Student in an Organized Health Care Education/Training Program in Atlanta, GA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show So Mang Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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.
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.
ATLANTA, GA 30309
ATLANTA, GA 30309
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.
Which organization bills Medicare for So Mang Chang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), So Mang Chang reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, 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 So Mang Chang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# So Mang Chang · NPI 1417584467
Student in an Organized Health Care Education/Training Program provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1417584467 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1745 PEACHTREE ST NE STE U, Atlanta, GA 30309-2479
- **Phone:** (404) 778-6920 · **Fax:** (404) 778-6901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia Col Of Osteo Med, Sewanee, class of 2020
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417584467) · Data from the CMS NPPES public registry.