Active NPI
H.S. Lee M.D. PA
- Specialist
- Haleyville, AL
National Provider Identifier
1164599445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AL7617
- Legal business name
- H.S. LEE M.D. PA
- Practice address
- 42030 Highway 195
Suite B
Haleyville, AL 35565-0599 - Phone
- (205) 485-7284
- Fax
- (205) 485-7392
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- H S Lee, M.D.
- Title
- Physician-President of Corporation
- Phone
- (205) 485-7284
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050221000585 | AL | Part B Supplier - Clinic/Group Practice | 8325091119 |
Receives reassigned benefits from 1 practitioner Practice locations: Haleyville, AL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AL7617 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
42030 Highway 195
Suite B
Haleyville, AL 35565-0599
Mailing address
P O BX 599
Haleyville, AL 35565-0599
Phone (205) 485-7284
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51003590 | Other | AL | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2007.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1164599445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BX 599",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355650599",
"telephone_number": "205-485-7284",
"fax_number": "205-485-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42030 HIGHWAY 195",
"address_2": "SUITE B",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355650599",
"telephone_number": "205-485-7284",
"fax_number": "205-485-7392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H.S. LEE M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "H",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PHYSICIAN-PRESIDENT OF CORPORATION",
"authorized_official_telephone_number": "205-485-7284",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "AL7617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51003590",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Haleyville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.