Individual provider Active NPI

Rebecca Clare Lee, M.D.

  • Family Medicine Physician
  • Bolivia, NC
National Provider Identifier
1275512279
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9600832 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8980888MedicaidNC
147N5OtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040303001262 NC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 8729975669 Reassigns benefits to 1 organization
I20260226002643 SC Practitioner - Family PracticePractitioner - Other (Physician) 8729975669 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Rebecca L Summerlin MD PA Family Medicine CurrentSince Apr 20, 2005 Accepting new patients
Lower Cape Fear Hospice Incorporated CurrentSince Aug 1, 2010 Accepting new patients
Lower Cape Fear Hospice Incorporated CurrentSince Oct 30, 2025 Accepting new patients
Lower Cape Fear Hospice, Incorporated CurrentSince Aug 1, 2010 Accepting new patients
North Carolina Physician Network, Inc. Past Accepting new patients
Ocean Isle Beach Family Medicine. PC PastSince Jun 1, 2012 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.

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": "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

Verify at the official NPI Registry.