Jeong Sok Seo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

65307 Issued in GA

Practice address

6 Hospital Park
Moultrie, GA 31768-6700

Phone

(229) 891-9009

Fax

(229) 890-1282

NPI assigned

Nov 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrobinson@crim.amazing-direct.com
• Direct secure messaging: jseo@crim.amazing-direct.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/6996dfed-5d48-4d59-8b7b-8bd86c9887c0/

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.

• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Chatham Hosptialists, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1336290667
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Phoebe Dorminy Family Care

  • Clinic/Center
  • Fitzgerald, GA
  • NPI 1992084644
  NPD
• Colquitt Regional Infectious Disease LLC

  • Infectious Disease Physician
  • Moultrie, GA
  • NPI 1336665371
  NPD (past)
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  NPD (past)
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639359342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2438",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317762438",
            "telephone_number": "229-891-9009",
            "fax_number": "229-890-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686700",
            "telephone_number": "229-891-9009",
            "fax_number": "229-890-1282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686925",
            "country_code": "US",
            "telephone_number": "229-985-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEO",
        "first_name": "JEONG",
        "middle_name": "SOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "065307",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "65307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109900E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I119252",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109900D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Schiffer
• Rebecca Lynn Schmidt
• Laura Ashley Schwalls, NP-C
• Andrea M Scott
• Self Love Helping Hands LLC
• Seth a. Berl, MD
• Seth a. Berl, MD, PC
• George Anthony Sheffield Jr., PT
• Makena Renee Shields, D.O.
• Vernita S Shipp, NP-C

• Internal Medicine Physician in Moultrie, GA
• Providers in Moultrie, 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 21, 2022; 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.

Verify at the official NPI Registry.