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

Mr. Jack Lee Sorg, MD

Individual provider General Practice Physician · NPI 1407941131

Mr. Jack Lee Sorg, MD is a General Practice Physician in Conyers, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

1301 Well Brook Cir
Conyers, GA 30012-3873
Phone: (770) 922-3023
Fax: (770) 929-1016
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 016434 (GA)

Record details

NPI number1407941131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 29, 2014
Mailing address1301 Wellbrook Circle Ne, Conyers, GA 30012-3873

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