Individual provider Active NPI

Joo Hee Seo, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Suwanee, GA
National Provider Identifier
1376869529
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
109463 Issued in GA
Practice address
4275 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9117
Phone
(912) 513-1041
Fax
(762) 316-2051
NPI assigned
Apr 13, 2010
Reactivated
May 21, 2026
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 109463 GA Primary

Addresses

Primary practice location

4275 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9117

Mailing address

4275 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9117
Phone (912) 513-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000401 FL Practitioner - Pediatric Medicine 7810140720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109463GAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Nov 26, 2012 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 26, 2012 Accepting new patients
Georgia Epilepsy & Neurology Institute, LLC Neurology With Special Qualifications in Child Neurology Current Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

615 E Princeton St
Ste 540
Orlando, FL 32803
Phone (407) 303-8127

4275 Johns Creek Pkwy
Ste C
Suwanee, GA 30024
Phone (912) 513-1041

Interoperability endpoints

  • Direct secure messaging: jheeseo71657@epicdirect.hf.org
  • Direct secure messaging: jseo73573@adventhealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1376869529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 JOHNS CREEK PKWY STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249117",
            "telephone_number": "912-513-1041",
            "fax_number": "762-316-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 JOHNS CREEK PKWY STE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249117",
            "telephone_number": "912-513-1041",
            "fax_number": "762-316-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "JOO HEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "deactivation_date": "2026-04-23",
        "reactivation_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "109463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.