Georgia Epilepsy & Neurology Institute, LLC
Organization Active NPI Neurology with Special Qualifications in Child Neurology Physician · Suwanee, GA
NPI 1497629570 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1497629570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- Legal business name
- GEORGIA EPILEPSY & NEUROLOGY INSTITUTE, LLC
- Practice address
- 4275 Johns Creek Pkwy Ste C
Suwanee, GA 30024-9117 - Phone
- (912) 513-1041
- Fax
- (762) 316-2051
- NPI assigned
- Oct 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Ki Hyeong Lee, MD
- Title
- Managing Doctor
- Phone
- (513) 250-5703
Practitioners 2
-
Ki Hyeong Lee, MD
-
Joo Hee Seo, M.D.
National Provider Directory
Locations
4275 Johns Creek Pkwy
Ste C
Suwanee, GA 30024
Phone (912) 513-1041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | Yes |
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
NPI Registry JSON
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1497629570",
"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": {
"organization_name": "GEORGIA EPILEPSY & NEUROLOGY INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-02",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KI HYEONG",
"authorized_official_title_or_position": "MANAGING DOCTOR",
"authorized_official_telephone_number": "513-250-5703",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Suwanee, GA · Neurology with Special Qualifications in Child Neurology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.