Individual provider Active NPI

David C Lee, MD

  • Specialist
  • Hattiesburg, MS
National Provider Identifier
1316048911
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14446 Issued in MS
Practice address
3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401-8246
Phone
(601) 554-7400
Fax
(601) 554-7499
NPI assigned
Sep 26, 2006
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14446 MS Primary

Addresses

Primary practice location

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401-8246

Mailing address

1 Lincoln Pkwy
Ste 300
Hattiesburg, MS 39402-3262
Phone (601) 579-4440

Other practice location 1

1211 S Gloster St Ste A
Tupelo, MS 38801-6548
Phone (662) 432-1485

Other identifiers 1

IdentifierTypeStateIssuer
0123883MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000490 MS Practitioner - Neurosurgery 7416847322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Mississippi School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 S Gloster St
Suite a
Tupelo, MS 38801-6548
Phone (662) 767-4200

3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.38 of 100Reported as individual
Quality
27.02
Promoting interoperability
66
Improvement activities
40
Cost
82.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14446MSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Jan 10, 2022 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC CurrentSince Jan 10, 2022 Accepting new patients
Southern Bone & Joint Specialists, PA CurrentSince Apr 18, 2016 Accepting new patients
Southern Bone & Joint Specialists CurrentSince Apr 18, 2016 Accepting new patients
Ms Pain & Migraine PastSince Mar 1, 2021 Accepting new patients

Locations

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451

100 Baptist Memorial Cir
Ste 330
Oxford, MS 38655
Phone 6627674200 ext. 1057

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: david.lee.p1@direct.southernboneandjoint.nextgenshare.com

Organizations & group practices 6

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 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1316048911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN PKWY",
            "address_2": "STE 300",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023262",
            "telephone_number": "601-579-4440",
            "fax_number": "601-579-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 VETERANS MEMORIAL DR",
            "address_2": "STE 200",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018246",
            "telephone_number": "601-554-7400",
            "fax_number": "601-554-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 S Gloster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016548",
            "country_code": "US",
            "telephone_number": "662-432-1485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "14446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123883",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.