Individual provider Active NPI

Sigismund S Lee, M.D.

  • Surgery Physician
  • Waycross, GA
National Provider Identifier
1194974048
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
061478 Issued in GA
Practice address
1908 Alice St
Waycross, GA 31501-6208
Phone
(912) 338-6010
NPI assigned
Sep 16, 2008
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 061478 GA Primary

Addresses

Primary practice location

1908 Alice St
Waycross, GA 31501-6208

Mailing address

PO Box 173
Waycross, GA 31502-0173
Phone (912) 338-6010

Other identifiers 1

IdentifierTypeStateIssuer
772961776AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SIGISMUND.LEE@hca5.eclinicaldirectplus.com

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
I20090728000048 GA Practitioner - General Surgery 4688727431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2004
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Satilla Specialists, LLCGroup PAC ID 5991074957, 19 clinicians

Practice addresses (Care Compare)

1908 Alice St
Waycross, GA 31501-6208
Phone (912) 338-6010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061478GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Memorial Satilla Specialists, LLC CurrentSince May 1, 2017 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Southeast Georgia Health Services, L.L.C. Past Accepting new patients

Locations

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

1908 Alice St
Waycross, GA 31501
Phone (912) 338-6010

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: sigismund.lee@hca5.eclinicaldirectplus.com
  • Direct secure messaging: sigismund.lee@mhs.gadirect.net

Organizations & group practices 5

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 1

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1194974048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315020173",
            "telephone_number": "912-338-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016208",
            "telephone_number": "912-338-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SIGISMUND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "061478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772961776A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SIGISMUND.LEE@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1908 Alice St",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315016208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.