Active NPI
Lee Q Tian, MD
- Anesthesiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 103611
- Practice address
- 72 Plaza Way NW
Marietta, GA 30060-1104 - Phone
- (678) 813-2741
- NPI assigned
- Jun 24, 2020
- Last updated
- Aug 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 103611 | GA | Primary |
Addresses
Primary practice location
72 Plaza Way NW
Marietta, GA 30060-1104
Mailing address
72 Plaza Way NW
Marietta, GA 30060-1104
Phone (678) 813-2741
Other practice location 1
1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone (770) 702-1806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Medical College of Georgia School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2713 Charles Hardy Pkwy
Dallas, GA 30157-9470
Phone 6788132741103
4450 Calibre Xing NW
Suite 1118
Acworth, GA 30101-4104
Phone 6788132741103
4586 Timber Ridge Dr
Suite 140
Douglasville, GA 30135-7513
Phone (678) 813-2741
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Spine Interventions, PC | Current | Accepting new patients | |
| Center for Spine Interventions ASC 2 | Past | Accepting new patients |
Locations
2713 Charles Hardy Pkwy
Ste 212222
Dallas, GA 30157
280 Merchants Sq
Dallas, GA 30132
Phone (404) 717-7014
4586 Timber Ridge Dr
Ste 140
Douglasville, GA 30135
Phone (678) 838-2180
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEDICA/Endpoint/IEDICA
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Dallas, GA
- NPI 1437407525
-
- Ambulatory Surgical Clinic/Center
- Dallas, GA
- NPI 1700389822
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Cobb Hospital
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
dba Wellstar Kennestone Hospital
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1184240137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 PLAZA WAY NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601104",
"telephone_number": "678-813-2741",
"fax_number": "770-575-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 PLAZA WAY NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601104",
"telephone_number": "678-813-2741"
}
],
"practiceLocations": [
{
"address_1": "1300 Ridenour Blvd NW Ste 300",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "301524402",
"country_code": "US",
"telephone_number": "770-702-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIAN",
"first_name": "LEE",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-24",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "103611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.