NPI age
20 years
Enumerated 2005-07-22
● Active
Type 1 · Individual
DR. Jae H Pak, M.D.
Pak is 1 of 4 psychiatry & neurology providers in Snellville and 1 of 21 in Georgia.
Primary specialty
Psychiatry & Neurology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-06-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 21 active psychiatry & neurology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
2160 Fountain Dr, Suite 200
Snellville, GA 300787022
Mailing address
2160 Fountain Dr, Suite 200
Snellville, GA 300787022
Specialties
-
Psychiatry & Neurology PrimaryGeriatric 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10594474 | CAQH |
| 05 (GA) | 000678477E | |
| 01 (GA) | 26BDJZQ | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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