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JUSTIN KHUNG CHANG MD
NPI 1932040219
Student in an Organized Health Care Education/Training Program in Braselton, GA

Active since April 02, 2026PECOS Enrolled
1515 RIVER PL STE 200, BRASELTON, GA 30517(770) 848-6140(770) 848-6141 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Khung Chang Md NPPES

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

JUSTIN KHUNG CHANG MD (NPI 1932040219) is an individual student in an organized health care education/training program in Braselton, Georgia and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932040219
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN KHUNG CHANGCredential: MD
Location Address1515 RIVER PL STE 200Braselton, GA 30517-5603
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Phone(770) 848-6140
Fax(770) 848-6141
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1932040219 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.
1515 RIVER PL STE 200, Braselton, GA 30517
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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 (PECOS)

Justin Khung Chang 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.

DR. YOUJIN YOO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
NATHAN QUN ZHANG DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
ANAMARIA MCCLAUDE FNP
Nurse Practitioner (Family)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-9310
MRS. CRYSTAL VANESA AYAZO MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. ALLEN BARBAROVICH MD
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. DONATINE KWESI ODUAM AFFUL DO
Student in an Organized Health Care Education/Training Program
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
DR. JEREMIAH HUANG D.O.
Internal Medicine
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140
MRS. MUTALE PAULINE BINGLEY LCSW
Social Worker (Clinical)
1515 RIVER PL STE 200
BRASELTON, GA 30517
Jackson County (770) 848-6140

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 Chang's NPI number?

The NPI number for Justin Chang is 1932040219. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Justin Chang located?

Justin Chang practices at 1515 River Pl Ste 200, Braselton, GA 30517. The listed phone number is (770) 848-6140.

What is Justin 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 Justin Chang enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Chang was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.