Active NPI
Sigismund S Lee, M.D.
- Surgery Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 061478
- Practice address
- 1908 Alice St
Waycross, GA 31501-6208 - Phone
- (912) 338-6010
- NPI assigned
- Sep 16, 2008
- Last updated
- Jan 31, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 772961776A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 13 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061478 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Memorial Satilla Specialists, LLC | Current | 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
- sigismund.lee@hca5.eclinicaldirectplus.com
- 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.
-
- General Practice Physician
- Waycross, GA
- NPI 1295266955
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
- Psychiatric Hospital Unit
- Waycross, GA
- NPI 1285796839
-
dba IRL Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.