Active NPI
Sojeong Lee
- Occupational Therapist
- Newnan, GA
National Provider Identifier
1912537473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007487
- Practice address
- 1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186 - Phone
- (770) 254-7850
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007487 | GA | Primary |
Addresses
Primary practice location
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Mailing address
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT007487 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200309002638 | GA | Practitioner - Occupational Therapist in Private Practice | 2264860063 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007487 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1912537473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 34 E STE 1300",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302653186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 34 E STE 1300",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302653186",
"telephone_number": "770-254-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SOJEONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OT007487",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
- Lee Goodrum Pharmacy Inc (Lee Goodrum Pharmacy)
- Tiara Lee-Harrington
- Hye Soo Lee
- Laura Mae Lee, CRNA
- Mariah Lee, BCBA
- Leech Laboratories LLC (Lee-King Wellness)
- Leech Pharmacy, LLC (Lee King Pharmacy)
- Leech Pharmacy, LLC (Lee-King Pharmacy)
- Margaret Mann Leech, PHARMD
- Jasnith Jacqueline Leetom, MASTERS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.