JOON NAM LEE (M.D.) – Internal Medicine Physician, NPI 1619024486

JOON NAM LEE (M.D.) is a healthcare provider. based in Riverdale, Georgia. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 015017 (GA). The NPI Number for JOON NAM LEE (M.D.) is 1619024486

Main info

Male
60 Years Of Experience
Accepts Medicare Assignment
Name
JOON NAM LEE (M.D.)
NPI
1619024486
Phone
(770) 471-7706
Address
8279 WEBB RD
Enumeration Date
4 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709681746
Graduation Year
1966 (60 years ago)
PAC ID
0042108383
Group Practice PAC ID
7214824655
Professional Enrollment ID
I20040308001156
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for JOON NAM LEE (M.D.)

  • Webb Road, Riverdale Acres, Clayton County, Georgia, 30274, United States

    RIVERDALE, GA 302744176

    Phone: (770) 471-7706

    Fax: (770) 968-0727

    Type: Mailing

  • Zion Road, Apt, Jonesboro, Craighead County, Arkansas, 72404, United States

    SUITE C-4

    JONESBORO, GA 302361597

    Phone: (770) 968-1746

    Fax: (770) 968-0727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-03-08

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
I20040308001156IInternal MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20011$0
99214Established patient office or other outpatient visit, 30-39 minutes6515$0
96372Injection of drug or substance under skin or into muscle5611$0
20553Injection of trigger points, 3 or more muscles5411$0
View full utilization report →

Insurance plans in this area (ZIP 30274)

Loading plans...

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: 7214824655View full group profile
NameSpecialtyState
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
C H I R O P R A C T I CGA
Nurse PractitionerGA
C H I R O P R A C T I CGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does JOON NAM LEE (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOON NAM LEE (M.D.) uses 1619024486.
Is JOON NAM LEE (M.D.) still practicing?
JOON NAM LEE (M.D.) is currently listed as active in the public NPI registry.
What is JOON NAM LEE (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for JOON NAM LEE (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JOON NAM LEE (M.D.)?
JOON NAM LEE (M.D.)'s geographic hint is Riverdale, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

VARMA S MEKA (M.D.)

Internal Medicine Physician
107, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30236, United States
NPI: 1366447187

DR. MICHAEL ANGEL DICRISTINA (M.D.)

Internal Medicine Physician
33, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1144226135

MR. RAO S MIKKILINENI (M.D.)

Pulmonary Disease Physician
Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1235130808

DR. RICHARD I WRIGHT (MD)

Internal Medicine Physician
483 UPPER RIVERDALE RD SW STE G
NPI: 1770573552

WILLIE M. WINZER MD PC

Internal Medicine Physician
6524, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1568425551

DR. DEVENDRA R KOGANTI (MD)

Interventional Cardiology Physician
6507, Professional Place, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1659334829

DR. ELOY EDILBERTO SR. DIAZ (M.D.)

Internal Medicine Physician
3144 NOAHS ARK RD
NPI: 1063461051

REDIET HABTEMARKOS (M.D.)

Hospitalist Physician
11 Upper Riverdale Road
NPI: 1346280914

DR. ANITA BASIL VARKEY (MD)

Internal Medicine Physician
4561 River Rd STE A
NPI: 1265477822