Jae Wook Nam, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

053792 Issued in GA

Practice address

721 Wellness Way
Suite100
Lawrenceville, GA 30046-3304

Phone

(770) 995-7989

Fax

(770) 277-2930

NPI assigned

Jun 30, 2006

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

Enrolled in GA

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

Specialty

Gastroenterology

Education

Emory University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Specialists of Gwinnett, P.C.Group PAC ID 4082695143, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
• Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score

79.8 of 100Reported as group

Quality

65.98

Promoting interoperability

90

Improvement activities

40

Cost

75.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaenam@gsg.allscriptsdirect.net

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

• Gastroenterology Specialists of Gwinnett, P.C.

  • Specialist
  • Lawrenceville, GA
  • NPI 1700901311

  GA

  Medicare reassignment Care Compare group NPD
• Gastrointestinal Endoscopy of Gwinnett, P.C.

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, GA
  • NPI 1699769703
  NPD (past)
• Northeast Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawrenceville, GA
  • NPI 1578531208
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277

  Hospital

  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Duluth, GA
  • NPI 1790715381

  Hospital

  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Lawrenceville, GA
  • NPI 1952340994

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1477581999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-7989",
            "fax_number": "770-277-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "SUITE100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463304",
            "telephone_number": "770-995-7989",
            "fax_number": "770-277-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "JAE",
        "middle_name": "WOOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "053792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew William Nagle, DPT
• Murtaza Hussain Nagpurwala
• Krelin Naidu, DO
• Satish Nair, N.D, LMT,MMT
• Naja Personal Care, Inc.
• Peter Kitae Nam, MD
• Madhuri Namuduri, MD
• Amiah Nicole Nance, DPT
• Michael Caroline Nanez, RN
• Marva Nangle, RN

• All providers in Lawrenceville, GA
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.