NPIMap

Individual provider Active NPI

John R Lee, D.O.

  • Family Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1184039240
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27985 Issued in MS
Practice address
90 Industrial Park Cir
Ocean Springs, MS 39564-5800
Phone
(228) 872-7620
NPI assigned
Jun 27, 2014
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3259 KY
Family Medicine Physician 207Q00000X 27985 MS Primary

Addresses

Primary practice location

90 Industrial Park Cir
Ocean Springs, MS 39564-5800

Mailing address

90 Industrial Park Cir
Ocean Springs, MS 39564-5800
Phone (228) 872-7620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002611 MS Practitioner - Family Practice 8729209093 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Preventive Caremd, LLCGroup PAC ID 7315447158, 4 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

1501 Bienville Blvd
Ocean Springs, MS 39564-3082
Phone (228) 822-6110

2000 Bienville Blvd
Ocean Springs, MS 39564-3016
Phone (251) 751-7510

371 Courthouse Rd
Gulfport, MS 39507-1889
Phone (228) 575-1333

4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3259KYMDFamily Medicine Physician
27985MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Preventive Caremd, LLC CurrentSince Jul 12, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 1, 2020 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 1, 2020 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

2000 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 282-8080

90 Industrial Park Cir
Ocean Springs, MS 39564
Phone (228) 327-5225

1501 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 822-6110

Interoperability endpoints

  • Direct secure messaging: jlee209862@direct.deaconess.com
  • Direct secure messaging: jlee@direct.mhg.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1184039240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 INDUSTRIAL PARK CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645800",
            "telephone_number": "228-872-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 INDUSTRIAL PARK CIR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645800",
            "telephone_number": "228-872-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R3259",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "27985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.