NPIMap

Individual provider Active NPI

Lee Edward Herman, MD

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1184779027
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043644 Issued in GA
Practice address
4365 Johns Creek Parkway
Suite 400
Suwanee, GA 30024
Phone
(678) 957-1910
Fax
(678) 957-1911
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043644 GA Primary

Addresses

Primary practice location

4365 Johns Creek Parkway
Suite 400
Suwanee, GA 30024

Mailing address

4365 Johns Creek Parkway
Suite 400
Suwanee, GA 30024
Phone (678) 957-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040510000703 GA Practitioner - Internal Medicine 8729077367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Creek Primary Care Physicians LLCGroup PAC ID 3577552116, 4 clinicians

Practice addresses (Care Compare)

4365 Johns Creek Pkwy
Suwanee, GA 30024-1059
Phone (678) 957-1910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
20.84 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Creek Primary Care Physicians LLC Internal Medicine CurrentSince Oct 1, 2001 Accepting new patients

Locations

4365 Johns Creek Pkwy
Ste 400
Suwanee, GA 30024
Phone (678) 957-1910

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFHGAA/Endpoint/FFHGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FFHGAA

Organizations & group practices 1

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

Hospital & facility affiliations 12

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1184779027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-957-1910",
            "fax_number": "678-957-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 JOHNS CREEK PARKWAY",
            "address_2": "SUITE 400",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-957-1910",
            "fax_number": "678-957-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "LEE",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.