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 NPI 1326061862
Title
Managing Doctor
Phone
(513) 250-5703

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2026.

{
    "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": []
}

Other providers in Suwanee, GA

All providers in Suwanee, GA · Neurology with Special Qualifications in Child Neurology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.