Joon Nam Lee, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015017 Issued in GA

Practice address

696 Mount Zion Rd
Suite C-4
Jonesboro, GA 30236-1597

Phone

(770) 968-1746

Fax

(770) 968-0727

NPI assigned

Jan 4, 2007

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern Crescent Medical Clinic, Inc.

  • Internal Medicine Physician
  • Jonesboro, GA
  • NPI 1972650661
  Medicare reassignment NPD
• Family and Physical Medicine of South Atlanta

  • Adult Medicine Physician
  • Newnan, GA
  • NPI 1326935198
  NPD
• Wholecare Medical, Inc

  • Multi-Specialty Clinic/Center
  • Norcross, GA
  • NPI 1659619088
  NPD
• Griffin Wellness Center

  • Internal Medicine Physician
  • Griffin, GA
  • NPI 1902943590
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619024486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8279 WEBB RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744176",
            "telephone_number": "770-471-7706",
            "fax_number": "770-968-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 MOUNT ZION RD",
            "address_2": "SUITE C-4",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361597",
            "telephone_number": "770-968-1746",
            "fax_number": "770-968-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOON",
        "middle_name": "NAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "015017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000135572I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Olivia Land, PSYD, CRC
• Laties, Inc.
• Taylor Lawrence
• Shareka Nicole Lawson-Garnes, DC
• David W Lazan, M.D.
• Terri L Lee, LPC
• Jay Lerner, D.C.
• Thomas John Leskody, D.C.
• Amy Lee Lewis
• Kimberly Sheree Lewis

• Internal Medicine Physician in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.