Individual provider Active NPI

Gregory Dongkyu Lee, M.D.

  • Ophthalmology Physician
  • Cumming, GA
National Provider Identifier
1609162155
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
82692 Issued in GA
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

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Georgia Retina, PCGroup PAC ID 1254328248, 23 clinicians

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 Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Retina, PC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
North Atlanta Professional Services LLC CurrentSince May 6, 2020 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.