JESSICA CHANG – Psychiatry Physician, NPI 1114372455

Psychiatry Physician

JESSICA CHANG is a healthcare provider. based in Atlanta, Georgia. specializing in Psychiatry Physician. They hold a License No. 80709 (GA). The NPI Number for JESSICA CHANG is 1114372455

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

JESSICA CHANG

NPI

1114372455

Phone

(404) 727-0010

Address

12 EXECUTIVE PARK DR NE # 200

Enumeration Date

23 April 2016

Last Update Date

8 July 2020

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

4045087700

Graduation Year

2016 (10 years ago)

PAC ID

8426312729

Group Practice PAC ID

8527958487

Professional Enrollment ID

I20200717002824

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience49

Completeness75

Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA CHANG

12 EXECUTIVE PARK DR NE # 200
ATLANTA, GA 303292206
Phone: (404) 727-0010
Type: Location
Winn Way, Decatur, DeKalb County, Georgia, 30030, United States
DECATUR, GA 300301707
Phone: (404) 508-7796
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30329)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8527958487View full group profile

Name	Specialty	State
DR. CARMEN SOFIA MARTINEZ (M.D.)	P S Y C H I A T R Y	GA
VANESSA HAMLET (LPC)	Mental Health Counselor	MD
MATTHEW RASKIND (LCSW)	-	GA
STACIE NEVINS	-	GA
MEAGAN NICOLE ANNIS (LPC)	Mental Health Counselor	GA
DR. VINODA MAKAM (M.D)	P S Y C H I A T R Y	GA
KATE AIBANGBEE (APRN)	-	GA
MS. ANGELA MARIE KING (LPC)	Mental Health Counselor	GA
ENIOLA OLADOKUN-MEROYI (PMHNP-BC)	Nurse Practitioner	GA
DR. DEMAREE LISA TRAMMEL (M.D.)	-	GA