Kourtney Danielle Chang, FNP-C - Medicare Nurse Practitioner in Clarkston, GA

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Kourtney Danielle Chang, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Clarkston, Georgia. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wellstreet Of Georgia Pc and her current practice location is 869 Market Way, Clarkston, Georgia. You can reach out to her office (for appointments etc.) via phone at (347) 387-4487.

Kourtney Danielle Chang is licensed to practice in Georgia (license number APRN-NP305467) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477306090.

Contact Information

Kourtney Danielle Chang, FNP-C
869 Market Way,
Clarkston, GA 30021-2530
(347) 387-4487
Not Available

Map and Direction




Provider's Profile

Full NameKourtney Danielle Chang
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location869 Market Way, Clarkston, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kourtney Danielle Chang graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1477306090
  • Provider Enumeration Date: 04/11/2024
  • Last Update Date: 10/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264872241
  • Enrollment ID: I20240425000658

Medical Identifiers

Medical identifiers for Kourtney Danielle Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477306090NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN-NP305467 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstreet Of Georgia Pc7517126279440

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kourtney Danielle Chang allows following entities to bill medicare on her behalf.
Entity NamePeachtree Immediate Care Fp, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437194156
PECOS PAC ID: 3274559323
Enrollment ID: O20051019000049
Entity NameWellstreet Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235411547
PECOS PAC ID: 7517126279
Enrollment ID: O20120315000603
Entity NameHardy Renew Wellness,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914368
PECOS PAC ID: 2961812425
Enrollment ID: O20201112000534

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kourtney Danielle Chang is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kourtney Danielle Chang, FNP-C
869 Market Way,
Clarkston, GA 30021-2530

Ph: (347) 387-4487		Kourtney Danielle Chang, FNP-C
869 Market Way,
Clarkston, GA 30021-2530

Ph: (347) 387-4487

Reviews and Comments


Nurse Practitioner Nurses in Clarkston, GA

Emily Howell Curia, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021
Phone: 470-406-0635    
Dr. Kimberley Anne Crawford, PHD, MPH, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Market St Ste E-1, Clarkston, GA 30021
Phone: 678-898-5731    
William Bodnar, FNP-BC
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Practice Location: 3701 College Ave, Clarkston, GA 30021
Phone: 678-383-1383    
Asmita Raut,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3660 Market St, Clarkston, GA 30021
Phone: 470-355-7896    
Anjana Khadka,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3660 Market St, Clarkston, GA 30021
Phone: 470-355-7896    
Lilian Ayidi Vende,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021
Phone: 678-705-9685    
Rebekah Schicker, RN, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Market St, Clarkston, GA 30021
Phone: 678-383-1383    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.