Active NPI
Susan Lee, M.D.
- Obstetrics & Gynecology Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2020-00727
- Practice address
- 1446 Fern Creek Dr
Statesville, NC 28625-9376 - Phone
- (704) 873-9617
- NPI assigned
- Apr 7, 2016
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2020-00727 | NC | Primary |
Addresses
Primary practice location
1446 Fern Creek Dr
Statesville, NC 28625-9376
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
Other practice location 1
288 S Ridgecrest Ave Ste 1
Rutherfordton, NC 28139-2838
Phone (828) 286-5583
Other practice location 2
720 Westview Dr SW
Atlanta, GA 30310-1458
Phone (404) 616-1692
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Minnesota Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1446 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 873-9617
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-00727 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Healthcare, PA | Current | Accepting new patients | |
| Piedmont Healthcare, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| DLP Rutherford Physician Practices LLC | Past | Accepting new patients |
Locations
650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277
1446 Fern Creek Dr
Statesville, NC 28625
Phone (704) 873-9617
208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215
1424 Fern Creek Dr
#B
Statesville, NC 28625
Phone (704) 662-9870
Interoperability endpoints
- susanlee@phc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1912999897
Obstetrics & Gynecology
-
- Durable Medical Equipment & Medical Supplies
- Statesville, NC
- NPI 1639041320
-
- Orthopaedic Surgery Physician
- Rutherfordton, NC
- NPI 1275943698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1306200175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 FERN CREEK DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259376",
"telephone_number": "704-873-9617"
}
],
"practiceLocations": [
{
"address_1": "288 S Ridgecrest Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Rutherfordton",
"state": "NC",
"postal_code": "281392838",
"country_code": "US",
"telephone_number": "828-286-5583",
"fax_number": "828-286-5584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 Westview Dr SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303101458",
"country_code": "US",
"telephone_number": "404-616-1692",
"fax_number": "404-616-4131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2020-00727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.