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MR. JACK LEE SORG MD
NPI 1407941131
General Practice in Conyers, GA

Active since October 04, 2006
1301 WELL BROOK CIRCLE, CONYERS, GA 30012(770) 922-3023(770) 929-1016 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mr. Jack Lee Sorg Md NPPES

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

MR. JACK LEE SORG MD (NPI 1407941131) is an individual general practice provider in Conyers, Georgia, licensed in Georgia (016434) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1407941131
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMR. JACK LEE SORGCredential: MD
Location Address1301 WELL BROOK CIRCLEConyers, GA 30012-3873
Mailing Address1301 Wellbrook Circle NeConyers, GA 30012-3873 · (770) 922-3023 · Fax (770) 929-1016
Phone(770) 922-3023
Fax(770) 929-1016
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 29, 2014
✔ NPI 1407941131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 016434
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1301 WELL BROOK CIRCLE, Conyers, GA 30012
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Other Providers at the Same Location NPPES 5

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

MARSHALL DAVID ALMAND MD
Internal Medicine
1301 WELL BROOK CIRCLE
CONYERS, GA 30012
Rockdale County (770) 922-3023
MRS. DEBORA ANN GOODRICH DO
Internal Medicine
1301 WELL BROOK CIRCLE
CONYERS, GA 30012
Rockdale County (770) 922-3023
JOHN MANOR ENTREKIN MD
Internal Medicine
1301 WELL BROOK CIRCLE
CONYERS, GA 30012
Rockdale County (770) 922-3023
MR. JAMES RANSFORD DE GIVE MD
Internal Medicine
1301 WELL BROOK CIRCLE
CONYERS, GA 30012
Rockdale County (770) 922-3023
MRS. ELIZABETH DYKES DEGIVE MD
Internal Medicine
1301 WELL BROOK CIRCLE
CONYERS, GA 30012
Rockdale County (770) 922-3023

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 Jack Sorg's NPI number?

The NPI number for Jack Sorg is 1407941131. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jack Sorg located?

Jack Sorg practices at 1301 Well Brook Circle, Conyers, GA 30012. The listed phone number is (770) 922-3023.

What is Jack Sorg's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jack Sorg was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.