Organization Active NPI

Seoung R Jee, Omd, Lac, LLC

  • Health Service Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1619735032
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SEOUNG R JEE, OMD, LAC, LLC
Practice address
5755 N Point Pkwy Ste 58
Alpharetta, GA 30022-1145
Phone
(678) 822-1773
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Seoung JeeNPI 1598968497
Title
President
Phone
(678) 822-1773

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5755 N Point Pkwy Ste 58
Alpharetta, GA 30022-1145

Mailing address

5755 N Point Pkwy Ste 58
Alpharetta, GA 30022-1145
Phone (678) 822-1773

Other practice location 1

10475 Medlock Bridge Rd Ste 420
Johns Creek, GA 30097-4439
Phone (678) 822-1773

National Provider Directory

National Provider Directory

Locations

5755 N Point Pkwy
Ste 58
Alpharetta, GA 30022
Phone (678) 340-6788

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1619735032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 58",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221145",
            "telephone_number": "678-822-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 58",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221145",
            "telephone_number": "678-822-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "678-822-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEOUNG R JEE, OMD, LAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "JEE",
        "authorized_official_first_name": "SEOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-822-1773"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.