Active NPI
Esaias Lee, M.D.
- Family Medicine Physician
- Tallahassee, FL
National Provider Identifier
1386655124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME42183
- Practice address
- 3333 Capital Oaks Dr
Tallahassee, FL 32308-4513 - Phone
- (850) 877-7161
- NPI assigned
- Aug 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME42183 | FL | Primary |
Addresses
Primary practice location
3333 Capital Oaks Dr
Tallahassee, FL 32308-4513
Mailing address
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067542300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Primary Care Associates, PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1972661262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386655124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 GOVERNORS SQUARE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013049",
"telephone_number": "850-383-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 CAPITAL OAKS DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084513",
"telephone_number": "850-877-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ESAIAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME42183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067542300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.