JAE PAK PC (NPI# 1184706996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184706996 |
| Entity Type | Organization |
| Organization Name | JAE PAK PC |
| Other Organization Name | HEALTHCARE FOR SENIORS |
| Practice Address |
2160 Fountain Drive 200 Snellville GA 30078-6783 |
| Practice Telephone | 7709821111 |
| Practice Fax Number | 7709827280 |
| Mailing Telephone | 7709821111 |
| Mailing Fax Number | 7709827280 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | JAE H PAK (OWNER PHYSICIAN) |
| Authorized Official Telephone | 7709821111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
040185 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Healthcare For Seniors | Doing Business As Name - Organization |
| Street Address |
2160 FOUNTAIN DRIVE 200 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280551 | Jae H Pak | Psychiatry & Neurology | 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | 2005-07-22 |
| 1396878500 | Franckel Val Md PC | Psychiatry & Neurology | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548513211 | Salveo Integrative Health | Psychiatry & Neurology | 301 Gwinnett Dr., Lawrenceville, GA 30046 | 2012-10-18 |
| 1821386855 | Outreach Psychiatric Associates, LLC | Psychiatry & Neurology | 250 Constitution Blvd, Ste 203, Lawrenceville, GA 30046-8432 | 2011-07-12 |
| 1336324144 | Leo O Noragbon | Psychiatry & Neurology | 728 Nightwind Way, Stockbridge, GA 30281-9134 | 2007-12-31 |
| 1457535155 | Michael S Conley M.d., P.C. | Psychiatry & Neurology | 285 Boulevard Ne Ste 315, Atlanta, GA 30312-4213 | 2007-12-18 |
| 1508087792 | Psychiatric Services of America | Psychiatry & Neurology | 311 Gwinnett Dr., Lawrenceville, GA 30046 | 2007-05-02 |
| 1194811174 | Adriana P Hermida | Psychiatry & Neurology | 826 Fieldstone Pkwy, Jonesboro, GA 30236-7500 | 2006-10-05 |
| 1689765844 | William Maffitt Mcdonald | Psychiatry & Neurology | Emory Division of Geriatric Psychiatry, Wesley Woods Health Center, 1841 Clifton Road Ne, Atlanta, GA 30329 | 2006-09-27 |
| 1760405211 | Frank Wayne Brown | Psychiatry & Neurology | 1899 E Gate Dr, Stone Mountain, GA 30087-1912 | 2006-07-25 |
| 1962858613 | Ruxandra Mares, Md | Psychiatry & Neurology | 100 Mariners Dr, Suite D, Kingsland, GA 31548-6666 | 2016-05-12 |
| 1356795462 | Tmc-behavioral Health of West Georgia | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2016-04-15 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.