JEONG SOK SEO (MD) – Internal Medicine Physician, NPI 1639359342

JEONG SOK SEO (MD) is a healthcare provider. based in Moultrie, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 065307 (GA). The NPI Number for JEONG SOK SEO (MD) is 1639359342

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JEONG SOK SEO (MD)
NPI
1639359342
Phone
(229) 985-3420
Address
3131 S Main St
Enumeration Date
9 November 2007
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124664079
Graduation Year
2007 (19 years ago)
PAC ID
1456521012
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20110909002445
Address ID
GA315204722BR2415XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for JEONG SOK SEO (MD)

  • 3131 S Main St

    Moultrie, GA 317686925

    Phone: (229) 985-3420

    Type: Location

  • 6 HOSPITAL PARK

    MOULTRIE, GA 317686700

    Phone: (229) 891-9009

    Fax: (229) 890-1282

    Type: Location

  • PO BOX 2438

    MOULTRIE, GA 317762438

    Phone: (229) 891-9009

    Fax: (229) 890-1282

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2011-09-09

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
I20110909002445IInternal 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes400201$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes126121$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11880$0
99239Hospital discharge day management, more than 30 minutes9893$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8988$0
View full utilization report →

Insurance plans in this area (ZIP 31768)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

Is there an official ID for JEONG SOK SEO (MD) in U.S. healthcare records?
The official identifier for JEONG SOK SEO (MD) is NPI 1639359342.
Is there an active status for JEONG SOK SEO (MD)?
For scheduling context, JEONG SOK SEO (MD) is shown as active in the registry.
What expertise is attributed to JEONG SOK SEO (MD)?
JEONG SOK SEO (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JEONG SOK SEO (MD) associated with Moultrie?
Public fields place JEONG SOK SEO (MD) around Moultrie, Georgia. Always confirm the exact site before visiting.
Does JEONG SOK SEO (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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