Jae Pak PC
NPI 1184706996ActiveOrganization· Psychiatry & Neurology, Geriatric Psychiatry· Snellville, GA
Psychiatry & Neurology, Geriatric Psychiatry in Snellville, Georgia, registered in NPPES in October 2006. The authorized official on file is Jae H. Pak, MD, Owner Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184706996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2006 |
| Last updated in NPPES | May 7, 2025 |
| Certified by provider | May 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Geriatric Psychiatry Primary | 2084P0805X | 040185 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Psychiatry & Neurology, Geriatric Psychiatry providers in Snellville
- 1396878500
- 1396334330
- 1740280551
All Psychiatry & Neurology, Geriatric Psychiatry providers in Georgia →