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JAE PAK PC
NPI 1184706996
Psychiatry & Neurology - Geriatric Psychiatry in Snellville, GA

Active since October 20, 2006
2160 FOUNTAIN DRIVE, 200, SNELLVILLE, GA 30078(770) 982-1111(770) 982-7280 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jae Pak Pc NPPES

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

JAE PAK PC (NPI 1184706996), doing business as Healthcare For Seniors, is a healthcare organization registered as a geriatric psychiatry in Snellville, Georgia and active in the NPI registry since October 2006. The organization lists Jae H Pak, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1184706996
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameJAE PAK PC
Location Address2160 FOUNTAIN DRIVE, 200Snellville, GA 30078-6783
Mailing Address2160 Fountain Drive, 200Snellville, GA 30078-6783 · (770) 982-1111 · Fax (770) 982-7280
Phone(770) 982-1111
Fax(770) 982-7280
Organization SubpartNo
Authorized OfficialJae H PakOwner Physician · (770) 982-1111
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1184706996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in GA · 040185
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
2160 FOUNTAIN DRIVE, Snellville, GA 30078
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Other Names 1

Doing Business AsHealthcare For Seniors

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae Pak Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jae Pak PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jody Amazon, N.P.
Nurse Practitioner
NPI 1427038470
2160 FOUNTAIN DR STE 220
Snellville, GA 30078
(678) 336-9102
✔ PECOS✔ Accepts MedicareSame address
Jae Pak, M.D.
Psychiatry
NPI 1740280551
2160 FOUNTAIN DR SUITE 200
Snellville, GA 30078
(770) 982-1111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jae Pak PC's NPI number?

The NPI number for Jae Pak PC is 1184706996. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Healthcare For Seniors.

Where is Jae Pak PC located?

Jae Pak PC is located at 2160 Fountain Drive 200, Snellville, GA 30078. The listed phone number is (770) 982-1111.

What is Jae Pak PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Jae Pak PC enrolled in Medicare?

Yes. Jae Pak PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jae Pak PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jae Pak PC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jae Pak PC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.