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DR. SUSAN HAE KYUNG LEE DMD
NPI 1124042049
Dentist - Pediatric Dentistry in Atlanta, GA

Active since July 26, 2006Opted out of Medicare · through May 11, 2028
3280 HOWELL MILL RD NW STE 121, ATLANTA, GA 30327(404) 355-8557(404) 355-8321 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Hae Kyung Lee Dmd NPPES

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

DR. SUSAN HAE KYUNG LEE DMD (NPI 1124042049) is an individual pediatric dentistry provider in Atlanta, Georgia, licensed in Georgia (DN011872) and active in the NPI registry since July 2006. She has opted out of Medicare through May 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124042049
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SUSAN HAE KYUNG LEECredential: DMD
Location Address3280 HOWELL MILL RD NW STE 121Atlanta, GA 30327-4107
Mailing Address3280 Howell Mill Rd Nw Ste 121Atlanta, GA 30327-4107 · (404) 355-8557 · Fax (404) 355-8321
Phone(404) 355-8557
Fax(404) 355-8321
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateSeptember 18, 2018
✔ NPI 1124042049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN011872
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3280 HOWELL MILL RD NW STE 121, Atlanta, GA 30327
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Other Identifiers 1

Medicaid000821895DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Susan Hae Kyung Lee Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 11, 2016 through May 11, 2028.

Opt-Out Effective DateMay 11, 2016
Opt-Out In Effect ThroughMay 11, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Susan Lee's NPI number?

The NPI number for Susan Lee is 1124042049. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Susan Lee located?

Susan Lee practices at 3280 Howell Mill Rd NW Ste 121, Atlanta, GA 30327. The listed phone number is (404) 355-8557.

What is Susan Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Susan Lee enrolled in Medicare?

No. Susan Lee has opted out of Medicare through May 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Susan Lee accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Susan Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Lee was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.