Individual provider Active NPI

Yoon Jae Lee, M.D.

  • Gastroenterology Physician
  • Duluth, GA
National Provider Identifier
1811942857
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
051971 Issued in GA
Practice address
3400 McClure Bridge Rd
A102
Duluth, GA 30096-6675
Phone
(678) 473-1445
NPI assigned
May 24, 2006
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 051971 GA Primary

Addresses

Primary practice location

3400 McClure Bridge Rd
A102
Duluth, GA 30096-6675

Mailing address

PO Box 1924
Duluth, GA 30096-0034
Phone (678) 473-1445

Other names 1

  • Dr. Yoon Lee Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050221000324 GA Practitioner - Gastroenterology 5698727469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 McClure Bridge Rd
Suite B201
Duluth, GA 30096-8705
Phone (678) 473-1445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051971GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Y J Lee Gastroenterology, PC CurrentSince Sep 1, 2006 Accepting new patients
Atlanta Premier Gi Endoscopy, LLC Gastroenterology Current Accepting new patients

Locations

3400 McClure Bridge Rd
Ste B201
Duluth, GA 30096
Phone (678) 473-1445

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADFJCA/Endpoint/ADFJCA

Organizations & group practices 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1811942857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960034",
            "telephone_number": "678-473-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "A102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "678-473-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOON JAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "051971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOON",
            "last_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.