Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JUSTIN MICHAEL CHAN MD
NPI 1679277289
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since March 28, 2023PECOS Enrolled
590 MANNING DR, CHAPEL HILL, NC 27599(919) 843-9361(919) 966-6484 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Mar 28, 2023 (2 updates tracked since 2023).

About Dr. Justin Michael Chan Md NPPES

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

DR. JUSTIN MICHAEL CHAN MD (NPI 1679277289) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679277289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JUSTIN MICHAEL CHANCredential: MD
Location Address590 MANNING DRChapel Hill, NC 27599-6119
Mailing Address590 Manning DrChapel Hill, NC 27599-6119 · (919) 843-9361 · Fax (919) 966-6484
Fax(919) 966-6484
Sole ProprietorYes
Enumeration DateMarch 28, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1679277289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
590 MANNING DR, Chapel Hill, NC 27599

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justin Michael Chan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Preventive Medicine (Public Health & General Preventive Medicine)
590 MANNING DR
CHAPEL HILL, NC 27599
General Practice
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599

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 Justin Chan's NPI number?

The NPI number for Justin Chan is 1679277289. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Justin Chan located?

Justin Chan practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (919) 843-9361.

What is Justin Chan's specialty?

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

Is Justin Chan enrolled in Medicare?

Yes. Justin Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Chan was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.