Active NPI
Louis Lee, M.D.
- Internal Medicine Physician
- Lithonia, GA
National Provider Identifier
1053409797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 38840
- Practice address
- 2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996 - Phone
- (404) 501-8492
- Fax
- (404) 501-8645
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 038840 | GA | |
| Internal Medicine Physician | 207R00000X | 38840 | GA | Primary |
Addresses
Primary practice location
2801 Dekalb Medical Pkwy
Lithonia, GA 30058-4996
Mailing address
PO Box 403631
Atlanta, GA 30384-3631
Phone (770) 740-0895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00392996 | Other | GA | RR MCARE |
| 000675001I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38840 | GA | MD | Internal Medicine Physician |
| 038840 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Hospitalists LLC | Hospitalist | Past | Accepting new patients |
| Family Care Centers Trust | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Decatur, GA
- NPI 1811026891
-
- Adult Medicine Physician
- Decatur, GA
- NPI 1477672640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1053409797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403631",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303843631",
"telephone_number": "770-740-0895",
"fax_number": "770-740-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DEKALB MEDICAL PKWY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300584996",
"telephone_number": "404-501-8492",
"fax_number": "404-501-8645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "038840",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "38840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "P00392996",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000675001I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.