Individual provider Active NPI

Jung H. Lee, M.D.

  • Cardiovascular Disease Physician
  • Hendersonville, TN
National Provider Identifier
1104933738
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35795 Issued in TN
Practice address
353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379
Phone
(615) 338-3337
Fax
(615) 338-3329
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35795 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379

Mailing address

353 New Shackle Island Rd
#300C
Hendersonville, TN 37075-2379
Phone (615) 338-3337

Other identifiers 2

IdentifierTypeStateIssuer
4020846OtherTNBCBS OF TN
3869855MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JUNG.LEE@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090815000131 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183706831 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Tennessee Heart and Vascular LLCGroup PAC ID 2567811474, 22 clinicians

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 300C
Hendersonville, TN 37075-2384
Phone (615) 824-0043

Hospital & facility affiliations

  • Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
  • Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065
  • Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Riverview Medical Center LLC Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Tristar Tennessee Heart and Vascular LLC Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Sumner Regional Medical Center LLC Cardiovascular Disease Current Accepting new patients
Riverview Medical Center LLC CurrentSince Sep 1, 2010 Accepting new patients
Sumner Physician Practices LLC CurrentSince Dec 1, 2015 Accepting new patients
Cardiovascular Health Consultants, P.a. Past Accepting new patients
Family Health Care of Hendersonville, PLLC Past Accepting new patients
Saint Thomas Cardiology Consultants, PC Cardiovascular Disease Past Accepting new patients

Locations

130 Lebanon Hwy
Carthage, TN 37030
Phone (615) 444-0554

133 Hospital Dr
Ste 700
Carthage, TN 37030
Phone (615) 588-1015

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

300 Steam Plant Rd
Ste 270
Gallatin, TN 37066
Phone (615) 230-6435

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

1720 Nashville Pike
Ste 200
Gallatin, TN 37066
Phone (615) 230-6435

14 Main St E
Ste B
Gordonsville, TN 38563
Phone (615) 588-1015

353 New Shackle Island Rd
Ste 300C
Hendersonvlle, TN 37075
Phone (612) 824-0043

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3880/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jung.lee@hca1.eclinicaldirectplus.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104933738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "#300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-338-3337",
            "fax_number": "615-338-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "#300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-338-3337",
            "fax_number": "615-338-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUNG",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "35795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4020846",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3869855",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JUNG.LEE@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "353 New Shackle Island Rd",
            "address_2": "#300C",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370752379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.