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.

See every abbreviation used in this directory →

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

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