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

So Mang Chang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417584467

So Mang Chang is a Family Practice in Atlanta, Georgia. Graduated from Philadelphia Col of Osteo Med, Sewanee in 2020, 6 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Philadelphia Col of Osteo Med, Sewanee
In the registry since
2020
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Practice location Address checks out

1745 Peachtree St NE Ste U
Atlanta, GA 30309-2479
Phone: (404) 778-6920
Fax: (404) 778-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417584467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 29, 2023
Certification dateJune 29, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COL OF OSTEO MED, SEWANEE
Graduated 2020 (6 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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