KOURTNEY DANIELLE CHANG FNP-C
NPI 1477306090
Nurse Practitioner - Family in Clarkston, GA
About Kourtney Danielle Chang Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOURTNEY DANIELLE CHANG FNP-C (NPI 1477306090) is an individual family provider in Clarkston, Georgia, licensed in Georgia (APRN-NP305467) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kourtney Danielle Chang Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kourtney Chang's NPI number?
The NPI number for Kourtney Chang is 1477306090. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Kourtney Chang located?
Kourtney Chang practices at 869 Market Way, Clarkston, GA 30021. The listed phone number is (347) 387-4487.
What is Kourtney Chang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kourtney Chang enrolled in Medicare?
Yes. Kourtney Chang is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kourtney Chang was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.