Individual provider Active NPI

Clay A Lee, DO

  • Family Medicine Physician
  • Waycross, GA
National Provider Identifier
1215901509
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46610 Issued in GA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000848482AMedicaidGA

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
I20040520000096 GA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 7416948328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care LLCGroup PAC ID 4082886825, 2 clinicians
Faith Family Practice LLCGroup PAC ID 3072934520, 7 clinicians

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

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46610GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ware Express Care, LLC CurrentSince Oct 31, 2017 Accepting new patients
Convenient Care LLC Family Medicine CurrentSince Feb 1, 2012 Accepting new patients
Faith Family Practice LLC Family Medicine CurrentSince Jan 15, 2020 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.