Alexander Douglas Lee, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-13644 Issued in NC

Practice address

1901 S Hawthorne Rd Ste 310
Winston Salem, NC 27103-3915

Phone

(336) 448-2427

Fax

(336) 765-2869

NPI assigned

Jun 7, 2023

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Wake Forest University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of the Piedmont PAGroup PAC ID 4587568860, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

Merit-based Incentive Payment System (MIPS)

Final score

90.25 of 100Reported as group

Quality

87.75

Promoting interoperability

100

Improvement activities

40

Cost

79.73

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gastroenterology Associates of the Piedmont, P.a.

  • Endoscopy Clinic/Center
  • Winston Salem, NC
  • NPI 1679687586
  Medicare reassignment Care Compare group NPD
• Gastroenterology Associates of the Piedmont, P.a.

  • Gastroenterology Physician
  • Winston Salem, NC
  • NPI 1336585561
  NPD
• Gastroenterology Associates of the Piedmont, P.a.

  • Gastroenterology Physician
  • Kernersville, NC
  • NPI 1073091088
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Forsyth Memorial Hospital, Inc.

  dba Novant Health Forsyth Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1447200233
  Care Compare affiliation

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1275227654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-448-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD STE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033915",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7126 Village Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128004",
            "country_code": "US",
            "telephone_number": "364-482-4273",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Pineview Dr Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843818",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 S Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271034014",
            "country_code": "US",
            "telephone_number": "336-448-2427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ALEXANDER",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB LICENSE",
            "identifier": "0010-13644",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Leavitt, M.D.
• Douglas Leclair, CO
• James Weil Lederer Jr., M.D.
• Lee Physician Consulting PLLC
• Allison Lee-Shaner, LMFT
• Bryan Cole Lee, CRNA
• Caleb James Lee, MD
• Chon Lee, M.D.
• Christie Lee, PA-C
• David J Lee, OD

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.

Verify at the official NPI Registry.