Individual provider Active NPI

Joon Young Lee, MD

  • Family Medicine Physician
  • Jackson, TN
National Provider Identifier
1366839458
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57307 Issued in TN
Practice address
616 W Forest Ave
Jackson, TN 38301-3902
Phone
(872) 231-3162
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 57307 TN Primary

Addresses

Primary practice location

616 W Forest Ave
Jackson, TN 38301-3902

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

300 Steam Plant Rd Ste 300
Gallatin, TN 37066
Phone (615) 284-8070

Other identifiers 1

IdentifierTypeStateIssuer
T1263810MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180828003811 TN Practitioner - Family Practice 2961752761 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Family Medicine CurrentSince Jul 23, 2018 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2020 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2025 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Mar 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2025 Accepting new patients
WT Medical Associates CurrentSince Jun 1, 2020 Accepting new patients
West Tennessee Rehabilitation Hospital, LLC Past Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

300 Steam Plant Rd
Ste 300
Gallatin, TN 37066
Phone (615) 451-9200

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

8353 Highway 100
Nashville, TN 37221
Phone (629) 888-5539

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: jlee18807@directepic.wth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1366839458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013902",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Steam Plant Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "37066",
            "country_code": "US",
            "telephone_number": "615-284-8070",
            "fax_number": "615-452-1774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOON",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "57307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T1263810",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.