Samuel Adams Lee I, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8624 Issued in GA

Practice address

3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005

Phone

(770) 442-1911

NPI assigned

Feb 27, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1376044115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W BENSON ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304313",
            "telephone_number": "415-271-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-442-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Collier Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091709",
            "country_code": "US",
            "telephone_number": "404-350-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMUEL",
        "middle_name": "ADAMS",
        "name_suffix": "I",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Yeon Lee, MD
• John Levie Lee Jr., M.D.
• Jung Min Lee
• Linda M Lee, MD
• Matthew Lee
• Sang Yoon Lee, PHARM.D.
• Sheida Lee, PT, DPT
• Song Un Lee, MD
• Sooyeon Lee, PHARM.D
• Stephen Lee, PHARM D.

• Medical Physician Assistant in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.