Individual provider Active NPI

Cheryl Lee, D.C,

  • Chiropractor
  • Lilburn, GA
National Provider Identifier
1184039380
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002964 Issued in GA
Practice address
5014 Stone Mountain Hwy
Suite C
Lilburn, GA 30047
Phone
(678) 357-2200
NPI assigned
Jun 25, 2014
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002964 GA Primary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN228889 GA

Addresses

Primary practice location

5014 Stone Mountain Hwy
Suite C
Lilburn, GA 30047

Mailing address

5014 Stone Mountain Hwy
Suite C
Lilburn, GA 30047-5800
Phone (678) 357-2200

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

State licenses

LicenseStateTypeSpecialty
RN228889GAMDAddiction (Substance Use Disorder) Registered Nurse
002964GAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1184039380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 STONE MOUNTAIN HWY",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475800",
            "telephone_number": "678-357-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 STONE MOUNTAIN HWY",
            "address_2": "SUITE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "678-357-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "002964",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "RN228889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.