DR. SAMUEL CHANG (M.D.) – Family Medicine Physician, NPI 1205127115

DR. SAMUEL CHANG (M.D.) is a healthcare provider. based in Athens, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 172732 (NC). The NPI Number for DR. SAMUEL CHANG (M.D.) is 1205127115

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMUEL CHANG (M.D.)
NPI
1205127115
Phone
(706) 475-7000
Address
1199 Prince Ave
Enumeration Date
26 April 2011
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704640280
Graduation Year
2011 (15 years ago)
PAC ID
6901026418
Group Practice PAC ID
7214090364
Professional Enrollment ID
I20141006001079
Address ID
GA306552469MO1016XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

Provider Addresses for DR. SAMUEL CHANG (M.D.)

  • 1199 Prince Ave

    Athens, GA 306062797

    Phone: (706) 475-7000

    Type: Location

  • 1016 E SPRING ST

    MONROE, GA 306552469

    Phone: (770) 464-0280

    Fax: (770) 464-0233

    Type: Location

  • 1000 BLYTHE BLVD

    MEB 3

    CHARLOTTE, NC 282035812

    Phone:

    Type: Mailing

  • 1199 PRINCE AVE

    ATHENS, GA 306062797

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Corcept Therapeutics ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corcept Therapeutics$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141006001079IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making198194$0
99291Critical care, first 30-74 minutes6564$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only6261$0
99284Emergency department visit with moderate level of medical decision making3939$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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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: 7214090364View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeOK
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to DR. SAMUEL CHANG (M.D.)?
The federal identifier for DR. SAMUEL CHANG (M.D.) is NPI 1205127115.
Is DR. SAMUEL CHANG (M.D.) active in the national directory?
DR. SAMUEL CHANG (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. SAMUEL CHANG (M.D.)?
The page reflects Family Medicine Physician for DR. SAMUEL CHANG (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. SAMUEL CHANG (M.D.)?
We surface Athens, Georgia for DR. SAMUEL CHANG (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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