JACOB LEE (DMD, MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1912438805
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
67 MAXILLOFACIAL SURGERY in GA
Provider Addresses for JACOB LEE (DMD, MD)
1825 Highway 34 E Ste 1700
Newnan, GA 302656416
Phone: (470) 400-2637
Type: Location
2593 BROOKLINE CIR NE
BROOKHAVEN, GA 303193691
Phone: (404) 966-8576
Type: Mailing
1260 HIGHWAY 54 STE 200
FAYETTEVILLE, GA 302144513
Phone: (770) 461-2101
Type: Location
270, Fox Hunter Drive, Johns Creek, Fulton County, Georgia, 30022, United States
JOHNS CREEK, GA 300226300
Phone: (404) 966-8576
Type: Mailing
University Medical Center, 2000, Canal Street, Storyville, Mid-City, New Orleans, Orleans Parish, Louisiana, 70112, United States
NEW ORLEANS, LA 701123018
Phone: (504) 702-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $2,743.
Total Amount is formed as General ($2,743) + Research ($0) + Ownership ($0) = $2,743.
Last reported payment date: 2024-08-03 • Largest payer in this snapshot: ZIMVIE INC. ($2,499).
Total Amount
$2,743
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,743
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $2,499 |
| Dentsply Sirona Inc | $122 |
| Pacira Pharmaceuticals Incorporated | $122 |
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: 2024-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240805001927 | I | Maxillofacial Surgery | GA | TBD |
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.
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 30265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery | LA | |
| - | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| - | GA | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Maxillofacial Surgery, Dentist, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | GA | |
| Maxillofacial Surgery, Oral Surgery | MD | |
| Maxillofacial Surgery, Oral Surgery | FL |
Reviews
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