Active NPI
Clay A Lee, DO
- Family Medicine Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46610
- Practice address
- 2100 Riverside Ave
Waycross, GA 31501-7020 - Phone
- (912) 490-7777
- Fax
- (912) 490-7778
- NPI assigned
- Feb 14, 2006
- Last updated
- Jan 8, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 046610 | GA | |
| Family Medicine Physician | 207Q00000X | 46610 | GA | Primary |
Addresses
Primary practice location
2100 Riverside Ave
Waycross, GA 31501-7020
Mailing address
306 Isabella St
Waycross, GA 31501-3636
Phone (912) 285-9990
Other practice location 1
207 31st Ave SE
Moultrie, GA 31768-6703
Phone (229) 529-1475
Other practice location 2
306 Isabella St
Waycross, GA 31501-3636
Phone (912) 285-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000848482A | Medicaid | GA |
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
- Osteopathic Manipulative Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 31St Ave SE
Moultrie, GA 31768-6703
Phone (229) 217-0088
2100 Riverside Ave
Waycross, GA 31501-7020
Phone (912) 490-7777
2100 Riverside Ave
Waycross, GA 31501-7072
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46610 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ware Express Care, LLC | Current | Accepting new patients | |
| Convenient Care LLC | Family Medicine | Current | Accepting new patients |
| Faith Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Mayo Clinic Health System in Waycross, Inc | Past | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients |
Locations
207 31st Ave SE
Moultrie, GA 31768
Phone (229) 217-0088
1411 Alice St
Waycross, GA 31501
Phone (912) 282-2989
2100 Riverside Ave
Waycross, GA 31501
Phone (912) 285-6083
306 Isabella St
Waycross, GA 31501
Phone (912) 267-9000
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Moultrie, GA
- NPI 1366734683
-
- Family Medicine Physician
- Waycross, GA
- NPI 1649819343
-
- Urgent Care Clinic/Center
- Waycross, GA
- NPI 1679083539
-
- Urgent Care Clinic/Center
- Waycross, GA
- NPI 1417408857
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1558334334
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba wayne memorial hospital
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1215901509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 ISABELLA ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315013636",
"telephone_number": "912-285-9990",
"fax_number": "912-338-8931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 RIVERSIDE AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315017020",
"telephone_number": "912-490-7777",
"fax_number": "912-490-7778"
}
],
"practiceLocations": [
{
"address_1": "207 31st Ave SE",
"address_purpose": "LOCATION",
"city": "Moultrie",
"state": "GA",
"postal_code": "317686703",
"country_code": "US",
"telephone_number": "229-529-1475",
"fax_number": "229-529-1475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Isabella St",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315013636",
"country_code": "US",
"telephone_number": "912-285-9990",
"fax_number": "912-338-8931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "CLAY",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "046610",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "46610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000848482A",
"state": "GA"
}
],
"endpoints": [],
"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 8, 2026; 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.