Active NPI
Edward W Lee, MD
- Anesthesiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 043681
- Practice address
- 2550 Windy Hill Rd SE
Suite 218
Marietta, GA 30067-8665 - Phone
- (770) 645-9181
- Fax
- (770) 645-8455
- NPI assigned
- Sep 14, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 043681 | GA | Primary |
Addresses
Primary practice location
2550 Windy Hill Rd SE
Suite 218
Marietta, GA 30067-8665
Mailing address
3155 North Point Parkway
Building F Suite 100 Attn Credentialing Dept
Alpharetta, GA 30005
Phone (770) 645-9181
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000757666J | Medicaid | GA | |
| 000757666K | Medicaid | GA | |
| 000757666F | Medicaid | GA | |
| 000757666H | Medicaid | GA | |
| 000757666I | Medicaid | GA | |
| 000757666L | Medicaid | GA | |
| 000757666M | Medicaid | GA | |
| 000757666E | Medicaid | GA | |
| 000757666G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Anesthesiology
- Education
- Temple University School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Fayette Community Anesthesia | Anesthesiology | Past | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Anesthesiology | Past | Accepting new patients |
| Northside Anesthesiology Consultants, LLC | Anesthesiology | Past | Accepting new patients |
| Progressive Anesthesia Consultants, LLC | Anesthesiology | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100
1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200
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 and National Provider Directory roles.
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- Anesthesiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1376538520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 NORTH POINT PARKWAY",
"address_2": "BUILDING F SUITE 100 ATTN CREDENTIALING DEPT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 WINDY HILL RD SE",
"address_2": "SUITE 218",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678665",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "EDWARD",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "043681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757666G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.