Gregory Dongkyu Lee (NPI# 1609162155, PAC ID# 2264752468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1609162155 |
| PAC ID by PECOS | 2264752468 |
| Professional Enrollment ID | I20190723002466 |
| Full Name | Gregory Dongkyu Lee |
| Organization Legal Name | GEORGIA RETINA, PC |
| Address |
1100 Johnson Ferry Nerd Suite 593 Atlanta GA 30342-1733 |
| Phone Number | 4042559096 |
| Gender | M |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1254328248 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1100 Johnson Ferry Nerd, Suite 593, Atlanta, GA 30342-1733 | 4042559096 | GEORGIA RETINA, PC |
| Organization Legal Name | GEORGIA RETINA, PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yogin P Patel | Ophthalmology | Georgia Retina, PC | 2393 Wall St, Suite 280, Conyers, GA 30013-2187 |
| Hyung Cho | Ophthalmology | Georgia Retina, PC | 175 Country Club Dr, Bldg 300 Suite D, Stockbridge, GA 30281-7380 |
| Sri Krishna Mukkamala | Ophthalmology | Georgia Retina, PC | 833 Campbell Hill St, Suite 300, Marietta, GA 30060-1159 |
| Atul Sharma | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Robert A Stoltz | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Michael S Jacobson | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Jay B Stallman | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Stephanie L Vanderveldt | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| Sean S Koh | Ophthalmology | Georgia Retina, PC | 575 Professional Dr, Suite 330, Lawrenceville, GA 30045-3300 |
| John Justus Miller | Ophthalmology | Georgia Retina, PC | 6095 Professional Pkwy, B202, Douglasville, GA 30134-5629 |
| Street Address |
1100 JOHNSON FERRY NERD SUITE 593 |
| City | ATLANTA |
| State | GA |
| Zip | 30342-1733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladstone Arnold Sellers | Internal Medicine | Mount Vernon Premier Care, LLC | 1100 Johnson Ferry Nerd, Suite 190, Sandy Springs, GA 30342-1733 |
| Rodolfo E Bordoni | Hematology/oncology | Nsh Cancer Institute Professional Services G LLC | 1100 Johnson Ferry Nerd, Suite 600, Sandy Springs, GA 30342-1739 |
| Howard J Sullivan | Anesthesiology Assistant | Ambulatory Anesthesia Alliance of Ga LLC | 1100 Johnson Ferry Nerd, Suite 593, Atlanta, GA 30342-1733 |
| David Mclean Dubose | Internal Medicine | Mount Vernon Premier Care, LLC | 1100 Johnson Ferry Nerd, Suite 190, Sandy Springs, GA 30342-1733 |
| Nicol P Morsby | Nurse Practitioner | Nsh Cancer Institute Professional Services G LLC | 1100 Johnson Ferry Nerd, Suite 600, Sandy Springs, GA 30342-1739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry T Todd | Anesthesiology | Mak Anesthesia Holdings, LLC | 9930 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342 |
| Nelson Enrique Castillo | Plastic and Reconstructive Surgery | 5445 Meridian Mark Rd Ne, Suite 395, Sandy Springs, GA 30342 | |
| Mackenzie J King | Nurse Practitioner | Northside Radiology Associates PC | 5445 Meridian Mark Rd, Suite 450, Atlanta, GA 30342 |
| Stephen Kraus | Emergency Medicine | Dermatology Associates of Atlanta | 5555 Peachtree Dnwdy Rd, Suite 190, Atlanta, GA 30342 |
| Charles F Peebles | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Perry H Julien | Podiatry | Perry H Julien Dpm | 5600 Roswell Rd Ne, M190, Atlanta, GA 30342-1134 |
| Amanda Elizabeth Williams | Psychiatry | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Daniel J Wachtel | Psychologist, Clinical | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1377 | |
| James A Purvis | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Viviana L Mahoney | Psychologist, Clinical | 5605 Glenridge Dr, Suite 620, Atlanta, GA 30342-1377 | |
| Find all physicians in zip 30342 | |||
| City | ATLANTA |
| Zip Code | 30342 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ATLANTA + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.