Active NPIIndividual provider

Nancy Chung, PHYSICIAN ASSISTANT

Physician Assistant in Austell, Georgia

NPI Number1407215718
Practice location
3950 Austell RD, Austell, GA 30106-1121
Fax
—
Last updated
March 2, 2021

Nancy Chung is a Physician Assistant based in Austell, GA. Nancy Chung practices in Austell, GA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Nancy Chung is 1407215718 and holds a License No. 4155 (WI). The current practice location address for Nancy Chung is 3950 Austell RD, Austell, GA 30106-1121 and can be reached out via phone at 470-732-4000.

Provider Profile Details

NPI Number
1407215718
Provider Name
Nancy Chung
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
3950 Austell RD, Austell, GA 30106-1121
Phone Number
470-732-4000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2016
Last Update Date
March 2, 2021
Certification Date
March 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3950 Austell RD
Austell, GA 30106-1121
State
Georgia
Zip
30106-1121
Phone Number
470-732-4000
Austell, GA 30106Get directions →

Provider Business Mailing Address Details

Address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
City
Marietta
State
GA
Zip
30066-6340
Phone Number
770-792-5451

License Information

License Number (1)
4155
License State (1)
WI
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
7789
License State (2)
GA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nancy Chung, PHYSICIAN ASSISTANT?

The NPI number of Nancy Chung, PHYSICIAN ASSISTANT is 1407215718. It was assigned on February 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Nancy Chung, PHYSICIAN ASSISTANT?

Nancy Chung, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in WI under license number 4155.

Where does Nancy Chung, PHYSICIAN ASSISTANT practice?

The practice location is 3950 Austell RD, Austell, GA 30106-1121. The office can be reached at 470-732-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407215718 directly on the NPPES registry website.

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