Individual provider Active NPI

Kyoung Ho Lee, M.D

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1902118292
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80018 Issued in GA
Practice address
7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603
Phone
(770) 476-3734
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 80018 GA Primary

Addresses

Primary practice location

7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603

Mailing address

7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603
Phone (770) 476-3734

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL khlee@riverviewhealth.org

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
I20190124001230 GA Practitioner - Family Practice 7618104530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

2005 Prince Ave
Athens, GA 30606-6032
Phone (706) 208-9700

80 Horizon Dr
Suite 304
Suwanee, GA 30024-7740
Phone (770) 476-3734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80018GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Family Medicine With Express Care LLC Single Specialty CurrentSince Jun 18, 2018 Accepting new patients
Medical Office Force Single Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

80 Horizon Dr
Ste 304
Suwanee, GA 30024
Phone (575) 528-9478

7360 McGinnis Ferry Rd
Suwanee, GA 30024
Phone (404) 966-5287

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFJBD
  • Direct secure messaging: kyoungho.lee@22525316.chartlogic.direct-ci.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1902118292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 MCGINNIS FERRY RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300246603",
            "telephone_number": "770-476-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 MCGINNIS FERRY RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300246603",
            "telephone_number": "770-476-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KYOUNG HO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "80018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "khlee@riverviewhealth.org",
            "affiliation": "N",
            "address_1": "7360 McGinnis Ferry Rd",
            "city": "Johns Creek",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300246603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.