Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Sukyoon Chang, PA-C, LAT, ATC

Individual provider Physician Assistant · NPI 1295335487

Mr. Sukyoon Chang, PA-C, LAT, ATC is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2024, 2 years ago. Practices with Carolina Orthopaedic and Neurosurgical Associates, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Phone: (864) 582-6396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8111 S Emerson Ave, Indianapolis, IN 46237-8601 — (317) 528-5000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5744 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1295335487
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Carolina Orthopaedic And Neurosurgical Associates — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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