Individual provider Active NPI

Lee Q Tian, MD

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1184240137
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
103611 Issued in GA
Practice address
72 Plaza Way NW
Marietta, GA 30060-1104
Phone
(678) 813-2741
NPI assigned
Jun 24, 2020
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717002435 GA Practitioner - Pain Management 4587063698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Georgia School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Spine Interventions, PCGroup PAC ID 7719136316, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Center for Spine Interventions, PC CurrentSince Aug 11, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.