John Lee MD, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

74026 Issued in GA

Legal business name

JOHN LEE MD, LLC

Practice address

4310 Johns Creek Pkwy Ste 180
Suwanee, GA 30024-6090

Phone

(678) 957-8908

NPI assigned

Nov 7, 2017

Reactivated

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John Y Lee, MDNPI 1972892388

Title

MD/Owner

Phone

(678) 957-8908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Yongseung Lee, M.D.

  • Obstetrics Physician
  • Suwanee, GA
  • NPI 1972892388
  Medicare reassignment Care Compare group Authorized official
• Min Hyung Kim, M.D.

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1114296910
  Medicare reassignment Care Compare group
• Lisa Anne Cara, FNP-BC

  • Family Nurse Practitioner
  • Suwanee, GA
  • NPI 1861872731
  NPD
• Hyeon Hui Park, APRN, FNP-BC

  • Nurse Practitioner
  • Suwanee, GA
  • NPI 1184965188
  NPD

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1831602242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JOHNS CREEK PKWY STE 180",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246090",
            "telephone_number": "678-957-8908",
            "fax_number": "678-854-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 JOHNS CREEK PKWY STE 180",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246090",
            "telephone_number": "678-957-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LEE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "deactivation_date": "2022-09-05",
        "reactivation_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "678-957-8908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "74026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jin, D.D.S.
• JK Internal Medicine & Geriatrics,PC
• Jloby LLC
• John Creek Diagnostic Center LLC
• John D. Kim PC (Chiropractic Healing Center)
• John's Creek Counseling, L.L.C.
• John's Creek Pharmacy
• Johns Creek Anesthesia, LLC
• Johns Creek Dental Care, P.C.
• Johns Creek Diagnostic Center, LLC

• Obstetrics & Gynecology Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.