Individual provider Active NPI

Elaina L Lee, MD

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1104856970
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9401250 Issued in NC
Practice address
1413 Carpenter Fletcher Rd
Durham, NC 27713-2007
Phone
(919) 544-6461
Fax
(919) 361-2487
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9401250 NC Primary

Addresses

Primary practice location

1413 Carpenter Fletcher Rd
Durham, NC 27713-2007

Mailing address

1413 Carpenter Fletcher Rd
Durham, NC 27713-2007
Phone (919) 544-6461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000845 NC Practitioner - Family Practice 1557317666 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9401250NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care, P.a. Family Medicine CurrentSince Mar 15, 2016 Accepting new patients

Locations

1413 Carpenter Fletcher Rd
Durham, NC 27713
Phone (919) 544-6461

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJCAA/Endpoint/GIJCAA

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1104856970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CARPENTER FLETCHER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132007",
            "telephone_number": "919-544-6461",
            "fax_number": "919-361-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CARPENTER FLETCHER RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132007",
            "telephone_number": "919-544-6461",
            "fax_number": "919-361-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELAINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9401250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.