Individual provider Active NPI

Jonathan W Lee, APN

  • Family Nurse Practitioner
  • Antioch, TN
National Provider Identifier
1235419904
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16053 Issued in TN
Practice address
4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-2971
Phone
(615) 731-8390
Fax
(615) 731-8391
NPI assigned
Aug 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16053 TN Primary

Addresses

Primary practice location

4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-2971

Mailing address

4071 Cane Ridge Pkwy Ste 112
Antioch, TN 37013-2971
Phone (615) 731-8390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JONATHAN.LEE@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120124000469 TN Practitioner - Nurse Practitioner 8628245172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Medical Group-Southern Hills IncGroup PAC ID 0244225621, 23 clinicians

Practice addresses (Care Compare)

397 Wallace Rd
Suite 100
Nashville, TN 37211-8025
Phone (615) 834-6166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
77.64
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16053TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group-Southern Hills Inc CurrentSince Dec 11, 2011 Accepting new patients

Locations

3534 Murfreesboro Pike
Ste 104
Antioch, TN 37013
Phone (615) 641-6767

4071 Cane Ridge Pkwy
Ste 112
Antioch, TN 37013
Phone (615) 731-8390

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

397 Wallace Rd
Ste C100
Nashville, TN 37211
Phone (615) 834-6166

397 Wallace Rd
Ste 100
Nashville, TN 37211
Phone (615) 834-6166

Interoperability endpoints

  • Direct secure messaging: jonathan.lee@hca1.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1235419904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 CANE RIDGE PKWY STE 112",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132971",
            "telephone_number": "615-731-8390",
            "fax_number": "615-731-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 CANE RIDGE PKWY STE 112",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132971",
            "telephone_number": "615-731-8390",
            "fax_number": "615-731-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-25",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JONATHAN.LEE@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3534 Murfreesboro Pike",
            "address_2": "SUITE 104",
            "city": "Antioch",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370132583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.