Ji Sun Lee, NP-C - Medicare Nurse Practitioner in Lawrenceville, GA

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Ji Sun Lee, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. Her current practice location is 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 645-7150.

Ji Sun Lee is licensed to practice in Georgia (license number RN212881) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891465951.

Contact Information

Ji Sun Lee, NP-C
595 Hurricane Shoals Rd Nw Ste 100,
Lawrenceville, GA 30046-8762
(404) 645-7150
Not Available

Map and Direction




Provider's Profile

Full NameJi Sun Lee
GenderFemale
SpecialityNurse Practitioner - Family
Location595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891465951
  • Provider Enumeration Date: 09/20/2021
  • Last Update Date: 07/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032507892
  • Enrollment ID: I20211027001860

Medical Identifiers

Medical identifiers for Ji Sun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891465951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN212881 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN212881 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ji Sun Lee allows following entities to bill medicare on her behalf.
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968
Entity NameGeorgia Nephrology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063422723
PECOS PAC ID: 4082606496
Enrollment ID: O20040402000838
Entity NameHealth One Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114355260
PECOS PAC ID: 6103053673
Enrollment ID: O20131209001791

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ji Sun Lee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ji Sun Lee, NP-C
595 Hurricane Shoals Rd Nw Ste 100,
Lawrenceville, GA 30046-8762

Ph: (404) 645-7150		Ji Sun Lee, NP-C
595 Hurricane Shoals Rd Nw Ste 100,
Lawrenceville, GA 30046-8762

Ph: (404) 645-7150

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.