Gregory Jordan Lee, MBA, LAT, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

83039 Issued in NC

Practice address

315 E Wilson St
Wingate, NC 28174-9665

Phone

(704) 690-6351

NPI assigned

Aug 29, 2022

Last updated

Oct 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1285354670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2887 WIGHTMAN CHURCH RD",
            "city": "POLKTON",
            "state": "NC",
            "postal_code": "281359535",
            "telephone_number": "704-690-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E WILSON ST",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281749665",
            "telephone_number": "704-690-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GREGORY",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "MBA, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NC",
            "license": "83039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Kanode, PHARM D
• Justine Claire Kastle, PA-C
• Rashad Knotts
• Daniel Christopher Lane, PHARMD, PHD
• Danielle Nicole Lapergola
• Noah Macniven
• Alex Maginnis, LAT, ATC
• Edward Albert Marshall Jr., ATC, LAT
• Sherrie P McCaskill, NURSE PRACTIONER
• Delaney McCullough

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Wingate, NC
• Providers in Wingate, NC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.