JULIA S LEE (PA-C) – Medical Physician Assistant, NPI 1093121964

JULIA S LEE (PA-C) is a healthcare provider. based in Suwanee, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 7236 (GA). The NPI Number for JULIA S LEE (PA-C) is 1093121964

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JULIA S LEE (PA-C)
NPI
1093121964
Phone
(770) 622-4412
Address
4285 JOHNS CREEK PKWY
Enumeration Date
10 July 2014
Last Update Date
11 August 2014

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043555484
Graduation Year
2014 (12 years ago)
PAC ID
3678795119
Group Practice PAC ID
6800784281
Professional Enrollment ID
I20141117001496
Address ID
GA303261418AT3379XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for JULIA S LEE (PA-C)

  • 4285 JOHNS CREEK PKWY

    SUITE A

    SUWANEE, GA 300246038

    Phone: (770) 622-4412

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 197 Open Payments records for all available years, with a total value of $6,195.

Total Amount is formed as General ($6,195) + Research ($0) + Ownership ($0) = $6,195.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,846).

Total Amount

$6,195

General + Research + Ownership

Payments

197

Total payment records

General Amount

$6,195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141117001496IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784281View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YNY
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
D E R M A T O L O G YMN
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyIL

Reviews

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Frequently asked questions

How is JULIA S LEE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JULIA S LEE (PA-C) with NPI 1093121964.
Is JULIA S LEE (PA-C) still practicing?
JULIA S LEE (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does JULIA S LEE (PA-C) hold?
Scheduling teams often label JULIA S LEE (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does JULIA S LEE (PA-C) serve?
JULIA S LEE (PA-C)'s listing highlights Suwanee, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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