Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIJU LEE
NPI 1083072680
Nurse Practitioner in Fort Gordon, GA

Q: What is Miju Lee's NPI number?

The NPI number for Miju Lee is 1083072680. It was assigned to this individual provider in the NPPES registry on February 10, 2016. The provider is also known as Miju Song.

Q: What is Miju Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Miju Lee was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2016

300 W HOSPITAL RD, FORT GORDON, GA 30905(706) 787-5811 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 21, 2022, Jun 8, 2017 and 2 more (5 updates tracked since 2016).

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About Miju Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIJU LEE (NPI 1083072680) is an individual nurse practitioner in Fort Gordon, Georgia, licensed in Texas (AP130711) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1083072680

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIJU LEE

Location Address300 W HOSPITAL RDFort Gordon, GA 30905-5741

Mailing Address300 W Hospital RdFort Gordon, GA 30905-5741 · (706) 787-5811

Phone(706) 787-5811

Sole ProprietorNo

Enumeration DateFebruary 10, 2016

Last NPPES UpdateAugust 24, 20265 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1083072680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · AP130711

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 863440 (TX), F0116958 (TX)

300 W HOSPITAL RD, Fort Gordon, GA 30905

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Other Names 1

Other Name (5)Miju Song

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT WILLIAM BOYER P.T., DPT, OCS

Physical Therapist

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-1024

MS. JANIS C RAYNOR LCSW

Social Worker (Clinical)

300 W HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905

Richmond County (706) 787-9186

DR. LEO MORRIS JOSEPH MD

Internal Medicine

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-2720

DANA JENKINS FNP

Nurse Practitioner (Adult Health)

300 W HOSPITAL RD, CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905

Richmond County (706) 787-5161

DR. GREGORY J SENGSTOCK MD PHD

Psychiatry & Neurology (Vascular Neurology)

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-1335

DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON

Military Hospital

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-2920

NEELY HUDSON PHARM.D.

Pharmacist

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-5811

BRENDA CLEVELAND

Registered Nurse (Pain Management)

300 W HOSPITAL RD
FORT GORDON, GA 30905

Richmond County (706) 787-2552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miju Lee's NPI number?

The NPI number for Miju Lee is 1083072680. It was assigned to this individual provider in the NPPES registry on February 10, 2016. The provider is also known as Miju Song.

Where is Miju Lee located?

Miju Lee practices at 300 W Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-5811.

What is Miju Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Miju Lee was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.