OrganizationActive
Jae Pak PC
NPI 1184706996 · Geriatric Psychiatry Physician · Snellville, GA
Provider details
- NPI number
- 1184706996
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jae Pak, Owner Physician(770) 982-1111
- License
- 040185 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2160 Fountain Drive
200
Snellville, GA 30078-6783
Phone: (770) 982-1111
Fax: (770) 982-7280
Street-level locationGet directions
Mailing address
2160 Fountain Drive
Snellville, GA 30078-6783
Other names (DBA / former)
- Doing business as
- Healthcare for Seniors
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.