Active NPI
Rebecca Clare Lee, M.D.
- Family Medicine Physician
- Bolivia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9600832
- Practice address
- 955 Mercy LN
Bolivia, NC 28422-9046 - Phone
- (910) 754-5356
- Fax
- (910) 754-5351
- NPI assigned
- Jan 10, 2006
- Last updated
- May 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9600832 | NC | Primary |
Addresses
Primary practice location
955 Mercy LN
Bolivia, NC 28422-9046
Mailing address
1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8980888 | Medicaid | NC | |
| 147N5 | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1414 Physicians Dr
Wilmington, NC 28401-7335
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca L Summerlin MD PA | Family Medicine | Current | Accepting new patients |
| Lower Cape Fear Hospice Incorporated | Current | Accepting new patients | |
| Lower Cape Fear Hospice Incorporated | Current | Accepting new patients | |
| Lower Cape Fear Hospice, Incorporated | Current | Accepting new patients | |
| North Carolina Physician Network, Inc. | Past | Accepting new patients | |
| Ocean Isle Beach Family Medicine. PC | Past | Accepting new patients | |
| Lower Cape Fear Hospice Incorporated | Family Medicine | Past | Accepting new patients |
Locations
955 Mercy Ln
Bolivia, NC 28422
Phone (910) 754-5356
120 Causeway Dr
Ste 3
Ocean Isle Beach, NC 28469
Phone (910) 575-5004
1414 Physicians Dr
Wilmington, NC 28401
Phone (910) 796-7900
1314 3rd Ave
Conway, SC 29526
Phone (843) 848-6480
Organizations & group practices 7
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.
-
dba Lower Cape Fear LifeCare
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wilmington, NC
- NPI 1790258234
-
dba Lower Cape Fear LifeCare
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Conway, SC
- NPI 1760806319
-
dba Lower Cape Fear Lifecare
- Case Management Agency
- Wilmington, NC
- NPI 1669012563
-
- Family Medicine Physician
- Ocean Isle Beach, NC
- NPI 1497709182
-
dba Lower Cape Fear LifeCare
- Community Based Hospice Care Agency
- Wilmington, NC
- NPI 1912962697
Family Medicine
-
dba Brunswick Women's Center
- Obstetrics & Gynecology Physician
- Supply, NC
- NPI 1528058963
-
- Primary Care Clinic/Center
- Ocean Isle Beach, NC
- NPI 1902162928
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lower Cape Fear LifeCare
- Community Based Hospice Care Agency
- Wilmington, NC
- NPI 1912962697
-
dba Lower Cape Fear LifeCare
- Community Based Hospice Care Agency
- Conway, SC
- NPI 1427053081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1275512279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017335",
"telephone_number": "910-796-7900",
"fax_number": "910-796-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MERCY LN",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284229046",
"telephone_number": "910-754-5356",
"fax_number": "910-754-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "REBECCA",
"middle_name": "CLARE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9600832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8980888",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "147N5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolivia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.