Active NPI
Lily Lee, MD
- Pediatrics Physician
- Peachtree Corners, GA
National Provider Identifier
1083363246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 105621
- Practice address
- 4941 S Old Peachtree Rd Ste B
Peachtree Corners, GA 30092-3495 - Phone
- (678) 960-8316
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 105621 | GA | Primary |
Addresses
Primary practice location
4941 S Old Peachtree Rd Ste B
Peachtree Corners, GA 30092-3495
Mailing address
4941 S Old Peachtree Rd Ste B
Peachtree Corners, GA 30092-3495
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105621 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedsmd LLC | Pediatrics | Current | Accepting new patients |
Locations
4941 S Old Peachtree Rd
Ste B
Peachtree Corners, GA 30092
Phone (678) 960-8316
Interoperability endpoints
- lily.lee.1@28824.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1083363246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4941 S OLD PEACHTREE RD STE B",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4941 S OLD PEACHTREE RD STE B",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300923495",
"telephone_number": "678-960-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LILY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "105621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.