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Jing Chan

Technician/Technologist β€’ Duluth, GA

Active NPI 1194351684 Individual Practitioner Female Practitioner
Practice location in NPPES

3655 Howell Ferry Rd
Duluth, GA 300963186

Call 7707905437 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3655 Howell Ferry Rd

Duluth, GA 300963186

Telephone 7707905437
Organization at the Same NPPES Address or Phone
Village Podiatry Group, Llc. Facility NPI 1891887311

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Buford, GA; Duluth, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Duluth and Georgia

19 active clinicians are listed under Technician/Technologist with a practice address in Duluth, GA (70 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-02
Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2429 Cascade Cove Dr

Buford, GA 305197939

Phone: 6786172355

3675 Crestwood Pkwy Nw Ste 427

Duluth, GA 300965135

Phone: 8009201927

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location February 02, 2021

Registered at 3655 HOWELL FERRY RD, DULUTH, GA 300963186 (Tel: 7707905437)

πŸ“
Updated Business Mailing Address February 02, 2021

Registered at 32100 TELEGRAPH RD, BINGHAM FARMS, MI 480252452 (Tel: 2487124266)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2021

Technician/Technologist

πŸ“
Updated Practice Location December 30, 2020

Registered at 3675 CRESTWOOD PKWY NW STE 427, DULUTH, GA 300965135 (Tel: 8009201927)

πŸ“
Updated Business Mailing Address December 30, 2020

Registered at 3675 CRESTWOOD PKWY NW STE 427, DULUTH, GA 300965135

βœ…
NPI Profile Active March 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 17, 2020

Registered at 2429 CASCADE COVE DR, BUFORD, GA 305197939 (Tel: 6786172355)

πŸ“
Business Mailing Address (Initial Record) March 17, 2020

Registered at 2429 CASCADE COVE DR, BUFORD, GA 305197939 (Tel: 6786172355)

πŸ‘€
Provider Name / Credentials (Initial Record) March 17, 2020

Recorded as JING CHAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2020

Behavior Analyst

🟒
Initial NPI Registration & Enumeration March 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194351684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2020
Last Update: February 02, 2021
Sole Proprietor: No

Mailing Address

32100 Telegraph Rd

Bingham Farms, MI 480252452

Phone: 2487124266

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.