NPIMap

Individual provider Active NPI

Lee Daniel Logan, D.O.

  • Family Medicine Physician
  • Dayton, TN
National Provider Identifier
1336188085
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 1846 Issued in TN
Practice address
8845 Rhea County Hwy
Suite 101
Dayton, TN 37321-5926
Phone
(423) 775-4261
Fax
(423) 757-6988
NPI assigned
Jun 6, 2006
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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 DO 1846 TN Primary

Addresses

Primary practice location

8845 Rhea County Hwy
Suite 101
Dayton, TN 37321-5926

Mailing address

8845 Rhea County Hwy
Dayton, TN 37321-5926
Phone (423) 775-4261

Other identifiers 6

IdentifierTypeStateIssuer
3300005MedicaidTN
4157006OtherTNBCBS
4718093OtherTNCIGNA
056887OtherGAGEORGIA LICENSE
DO 1846OtherTNTN LICENSE
PTAN P00416016OtherTNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000618 TN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2961414420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8845 Rhea County Hwy
Dayton, TN 37321-5926
Phone (423) 775-4261

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy38
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1846TNMDMental Health Counselor
DO 1846TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Nov 1, 2012 Accepting new patients
South Central Physicians PLLC CurrentSince Aug 28, 2019 Accepting new patients
Logan Family Medicine, LLC CurrentSince Jan 5, 2009 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
Rhea Family Physicians, PC Family Medicine Past Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

7794 Rhea County Hwy
Ste 101
Dayton, TN 37321
Phone (423) 775-3363

8845 Rhea County Hwy
Dayton, TN 37321
Phone (423) 775-4261

8845 Rhea County Hwy
Ste 101
Dayton, TN 37321
Phone (423) 775-4261

9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: lee.logan@lfm.directbygreenway.com
  • Direct secure messaging: llogan@lfm.gwaydirect.com

Organizations & group practices 5

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 7

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1336188085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 RHEA COUNTY HWY",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215926",
            "telephone_number": "423-775-4261",
            "fax_number": "423-775-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 RHEA COUNTY HWY",
            "address_2": "SUITE 101",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215926",
            "telephone_number": "423-775-4261",
            "fax_number": "423-757-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LEE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO 1846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300005",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4157006",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4718093",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "056887",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN LICENSE",
            "identifier": "DO 1846",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PTAN P00416016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TN

Sources for this page

Verify at the official NPI Registry.