Charles Ivy Lee, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14864 Issued in AL

Practice address

4025 Pepperwood Cir SW Ste C
Huntsville, AL 35801-7438

Phone

(256) 715-8193

Fax

(256) 715-8195

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Comprehensive Anesthesia Services PC

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1194704742
  NPD (past)
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • Psychiatry Physician
  • Huntsville, AL
  • NPI 1760400535
  NPD (past)
• The Sylacauga Health Care Authority

  dba dba Coosa Valley Medical Center

  • Family Medicine Physician
  • Sylacauga, AL
  • NPI 1124235320
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1255310363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 PEPPERWOOD CIR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017438",
            "telephone_number": "256-715-8193",
            "fax_number": "256-715-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 PEPPERWOOD CIR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017438",
            "telephone_number": "256-715-8193",
            "fax_number": "256-715-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHARLES",
        "middle_name": "IVY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AL",
            "license": "14864",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00014864",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "14864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MADISON SURG CTR",
            "identifier": "51523698",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- AL  INDIV",
            "identifier": "051019925",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000024029",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009975795",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HH LOCATIONS",
            "identifier": "51024029",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Peyton Lee, DPT
• Anna Marie Lee, DMD
• Annie Moody Lee, MCD, CCC-SLP
• Brittani Gaston Lee
• Camille Danielle Lee, PA
• Courtney Lee
• Danny Kim Lee, MD
• David A. Lee, O.D.
• Hunter Patrick Lee, DC
• Jerry Lee, OT

• General Practice Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.