JUNHYUK LEE DO
NPI 1104569680
Student in an Organized Health Care Education/Training Program in Savannah, GA

Active since April 14, 2022PECOS Enrolled
4700 WATERS AVE, SAVANNAH, GA 31404(912) 350-7573 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, Apr 14, 2022 (2 updates tracked since 2022).

About Junhyuk Lee Do NPPES

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

JUNHYUK LEE DO (NPI 1104569680) is an individual student in an organized health care education/training program in Savannah, Georgia and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bryn Mawr.

NPPES Registry Identity

NPI1104569680
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUNHYUK LEECredential: DO
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing Address2224 Summer St Unit CPhiladelphia, PA 19103-1015 · (650) 815-8718
Sole ProprietorYes
Enumeration DateApril 14, 2022
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1104569680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4700 WATERS AVE, Savannah, GA 31404

Other Names 1

Other Name (5)Jun Lee Do

Secondary Practice Location 1

Location 1130 S Bryn Mawr AveBryn Mawr, PA 19010-3121 · Phone (484) 337-4097

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Junhyuk Lee Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404

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 Junhyuk Lee's NPI number?

The NPI number for Junhyuk Lee is 1104569680. It was assigned to this individual provider in the NPPES registry on April 14, 2022. The provider is also known as Jun Lee Do.

Where is Junhyuk Lee located?

Junhyuk Lee practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 350-7573.

What is Junhyuk Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Junhyuk Lee enrolled in Medicare?

Yes. Junhyuk Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Junhyuk Lee was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.