Individual provider Active NPI

Jangwon Lee, M.D.

  • Internal Medicine Physician
  • Apex, NC
National Provider Identifier
1669767794
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2020-00159 Issued in NC
Practice address
120 Healthplex Way Ste 204
Apex, NC 27502-8403
Phone
(919) 350-0550
Fax
(919) 350-9822
NPI assigned
Jun 16, 2011
Last updated
May 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2020-00159 NC Primary

Addresses

Primary practice location

120 Healthplex Way Ste 204
Apex, NC 27502-8403

Mailing address

120 Healthplex Way # 204
Apex, NC 27502-8403
Phone (919) 350-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200429002328 NC Practitioner - Internal Medicine 7113357419 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00159NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Dec 15, 2020 Accepting new patients
Wake Specialty Physicians LLC CurrentSince May 18, 2020 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Dec 15, 2020 Accepting new patients
Wake Specialty Physicians, LLC Internal Medicine Current Accepting new patients
Wake Specialty Physicians CurrentSince May 18, 2020 Accepting new patients

Locations

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

120 Healthplex Way
#204
Apex, NC 27502

120 Healthplex Way
Ste 204
Apex, NC 27502
Phone (919) 350-0550

231 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 235-6410

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1669767794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEALTHPLEX WAY # 204",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028403",
            "telephone_number": "919-350-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTHPLEX WAY STE 204",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028403",
            "telephone_number": "919-350-0550",
            "fax_number": "919-350-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANGWON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-00159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.