Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nancy Chung, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1407215718

Nancy Chung, PHYSICIANASSISTANT is a Physician Assistant in Austell, Georgia. Qualified in 2015, 11 years ago. Practices with Hendrick Provider Network, a 240-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia and Wisconsin.

Years since qualifying
11
Licensed in
GA, WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (470) 732-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1195 N Main St, Providence, RI 02904-1824 — (401) 861-3782
  • 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 — (414) 385-1922

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7789 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 4155 (WI)

Record details

NPI number1407215718
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 15, 2016
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021
Mailing address805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hendrick Provider Network — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Austell