Active NPI
Gregory Dongkyu Lee, M.D.
- Ophthalmology Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 82692
- Practice address
- 990 Sanders Rd Ste 100
Cumming, GA 30041-5960 - Phone
- (678) 679-4830
- NPI assigned
- Jun 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 289000 | NY | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 82692 | GA | |
| Ophthalmology Physician | 207W00000X | 82692 | GA | Primary |
Addresses
Primary practice location
990 Sanders Rd Ste 100
Cumming, GA 30041-5960
Mailing address
1100 Johnson Ferry Rd Ste 593
Atlanta, GA 30342-1733
Phone (404) 255-9096
Other practice location 1
240 E 38th St Fl 13
New York, NY 10016-2708
Phone (212) 263-2573
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723002466 | GA | Practitioner - Ophthalmology | 2264752468 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Johnson Fy Rd NE
BLDG 2, Suite 593
Sandy Springs, GA 30342-1733
Phone (404) 255-9096
Hospital & facility affiliations
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Retina, PC | Ophthalmology | Current | Accepting new patients |
| North Atlanta Professional Services LLC | Current | Accepting new patients |
Locations
1255 Friendship Rd
Ste 160
Braselton, GA 30517
Phone (678) 528-1101
100 Market Place Blvd
Ste 304
Cartersville, GA 30121
Phone (470) 274-2030
1835 Savoy Dr
Ste 100
Chamblee, GA 30341
Phone (678) 298-9484
990 Sanders Rd
#100
Cumming, GA 30041
Phone (678) 679-4830
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
6095 Professional Pkwy
Ste B102
Douglasville, GA 30134
Phone (678) 303-0136
1488 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (404) 875-9011
575 Professional Dr
Ste 330
Lawrenceville, GA 30046
Phone (404) 255-9096
6055 Lakeside Commons Dr
Ste 310
Macon, GA 31210
Phone (478) 238-9733
833 Campbell Hill St NW
Ste 300
Marietta, GA 30060
Phone (770) 218-1888
403 Westpark Ct
Ste 110
Peachtree Cty, GA 30269
Phone (770) 486-1633
1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000
1462 Montreal Rd
Ste 412
Tucker, GA 30084
Phone (770) 396-2496
500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808
Interoperability endpoints
- glee564278@nychhc.direct-ci.com
Organizations & group practices 2
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1609162155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 JOHNSON FERRY RD STE 593",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421733",
"telephone_number": "404-255-9096",
"fax_number": "404-255-9097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 SANDERS RD STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300415960",
"telephone_number": "678-679-4830"
}
],
"practiceLocations": [
{
"address_1": "240 E 38th St Fl 13",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100162708",
"country_code": "US",
"telephone_number": "212-263-2573",
"fax_number": "212-263-2574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "GREGORY",
"middle_name": "DONGKYU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NY",
"license": "289000",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "GA",
"license": "82692",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "82692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.