Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Edward Sootin, MD

Individual provider Surgery Physician · NPI 1912909573

Jeffrey Edward Sootin, MD is a General Surgery in Snellville, Georgia. Graduated from University of Miami, Lm Miller School of Medicine in 1994, 32 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 Tree Lane Rd Ste 330
Snellville, GA 30078-4700
Phone: (770) 978-0561
Fax: (770) 978-0546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 048942 (GA)

Record details

NPI number1912909573
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESNovember 1, 2007
Mailing address1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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