Lee John Skandalakis, M.D., P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

027443 Issued in GA

Legal business name

LEE JOHN SKANDALAKIS, M.D., P.C.

Practice address

95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796

Phone

(404) 351-3750

Fax

(678) 904-1107

NPI assigned

Feb 7, 2012

Last updated

Feb 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee Skandalakis, M.D.NPI 1518907625

Title

Owner

Phone

(404) 351-3750

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lee John Skandalakis, M.D.

  • Surgery Physician
  • Atlanta, GA
  • NPI 1518907625
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1205108156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116943",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686943",
            "telephone_number": "404-941-1210",
            "fax_number": "404-941-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "SUITE 4025",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091796",
            "telephone_number": "404-351-3750",
            "fax_number": "678-904-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE JOHN SKANDALAKIS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "SKANDALAKIS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-351-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "027443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Ledford, NP
• Rebecca Kristine Ledford, ACNPC-AG
• Elizabeth M Leduc, MD
• Lawrence B Leduc, MD
• Lee Brian Padove M.D. LLC
• Mary A Lee McNair, CNP
• Kimberly M Lee-Okonya, LCSW
• Aijeleth Shahar Lee
• Alecia Lee
• Alison K Lee, MD

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.