Organization Active NPI

Hope Family Medicine With Express Care LLC

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1962985036
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOPE FAMILY MEDICINE WITH EXPRESS CARE LLC
Practice address
7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603
Phone
(575) 528-9478
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Kyoung Ho Lee, MDNPI 1902118292
Title
Manager
Phone
(575) 528-9478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7360 McGinnis Ferry Rd
Johns Creek, GA 30024-6603

Mailing address

4065 Greenside CT
Dacula, GA 30019-7244
Phone (575) 528-9478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190124000709 GA Part B Supplier - Clinic/Group Practice 8820335102 Receives reassigned benefits from 1 practitioner
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

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

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

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1962985036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 GREENSIDE CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197244",
            "telephone_number": "575-528-9478"
        },
        {
            "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": "575-528-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FAMILY MEDICINE WITH EXPRESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYOUNG HO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-528-9478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.