MR. DOUGLAS CHAN MD
NPI 1548558984
Psychiatry & Neurology - Child & Adolescent Psychiatry in Atlanta, GA
About Mr. Douglas Chan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DOUGLAS CHAN MD (NPI 1548558984) is an individual child & adolescent psychiatry provider in Atlanta, Georgia, licensed in Georgia (96215) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Douglas Chan Md 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 Reassignments
2Medicare enrollment records show Douglas Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 111 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 295 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30305
ATLANTA, GA 30305
ATLANTA, GA 30305
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 Douglas Chan's NPI number?
The NPI number for Douglas Chan is 1548558984. It was assigned to this individual provider in the NPPES registry on July 19, 2011.
Where is Douglas Chan located?
Douglas Chan practices at 3520 Piedmont Rd NE, Atlanta, GA 30305. The listed phone number is (404) 351-2008.
What is Douglas Chan's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Douglas Chan enrolled in Medicare?
Yes. Douglas Chan 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 Douglas Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Chan reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Behavioral Health Services (Salt Lake City, UT) and University Of Utah Behavioral Health Services (Salt Lake City, UT). 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 Douglas Chan'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 Douglas Chan was last updated on August 30, 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.
# Mr. Douglas Chan, MD · NPI 1548558984
Child & Adolescent Psychiatry physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1548558984 (Entity type: Individual)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 96215 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3520 PIEDMONT RD NE, Atlanta, GA 30305-1516
- **Phone:** (404) 351-2008
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Pediatric Behavioral Health Services (NPI 1033573191, Salt Lake City, UT); University Of Utah Behavioral Health Services (NPI 1093265654, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 30, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1548558984) · Data from the CMS NPPES public registry.