Active NPI
Jong Won Lee, D.C.
- Chiropractor
- Johns Creek, GA
National Provider Identifier
1659542736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIRO08217
- Practice address
- 6290 Abbotts Bridge Rd
Suite 204
Johns Creek, GA 30097-8495 - Phone
- (404) 567-2062
- Fax
- (404) 567-2062
- NPI assigned
- Mar 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO08217 | GA | Primary |
Addresses
Primary practice location
6290 Abbotts Bridge Rd
Suite 204
Johns Creek, GA 30097-8495
Mailing address
6290 Abbotts Bridge Rd
Suite 204
Johns Creek, GA 30097-8495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08217 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1659542736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6290 ABBOTTS BRIDGE RD",
"address_2": "SUITE 204",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6290 ABBOTTS BRIDGE RD",
"address_2": "SUITE 204",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978495",
"telephone_number": "404-567-2062",
"fax_number": "404-567-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JONG",
"middle_name": "WON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIRO08217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.