MEDICARE: JOHN CHIA-SU CHAO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	P1974	TX
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	P1974	TX
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	P1974	TX
4	207X00000X	Orthopaedic Surgery Physician	69558	GA
5	207XX0801X	Orthopaedic Trauma Physician	P1974	TX

General Provider Information

NPI Number	:	1871792945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CHIA-SU CHAO MD

Provider Business Mailing Address
First Line	:	5505 PEACHTREE DUNWOODY RD
Second Line	:	SUITE 600
City	:	ATLANTA
State	:	GA
Zip	:	30342-1705
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	404-355-2136

Provider Business Practice Location Address
First Line	:	5505 PEACHTREE DUNWOODY RD
Second Line	:	SUITE 600
City	:	ATLANTA
State	:	GA
Zip	:	30342-1705
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:	404-355-2136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	03/02/2026

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Directions to “ JOHN CHIA-SU CHAO MD” Practice Location

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