Individual provider Active NPI

Jane Lee, MD, PHD

  • Surgery Physician
  • Palestine, TX
National Provider Identifier
1417244849
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T4200 Issued in TX
Practice address
4002 S Loop 256 Ste B
Palestine, TX 75801-8405
Phone
(903) 731-5479
Fax
(903) 723-4093
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X T4200 TX Primary
Surgery Physician 208600000X A141475 CA

Addresses

Primary practice location

4002 S Loop 256 Ste B
Palestine, TX 75801-8405

Mailing address

410 N Jefferson Ave # 214
Mount Pleasant, TX 75455-3937
Phone (903) 939-9881

Other practice location 1

2900 TX-256 Loop
Palestine, TX 75801
Phone (903) 731-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211129002767 TX Practitioner - General Surgery 2163645961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

4000 S Loop
Suite 256
Palestine, TX 75801
Phone (903) 731-5368

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6569NEMDDentist
A141475CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc CurrentSince Mar 1, 2026 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Feb 10, 2025 Accepting new patients
Texas Specialty Physicians Surgery CurrentSince Oct 1, 2025 Accepting new patients
PRMC Healthcare Group Inc Surgery CurrentSince Mar 1, 2026 Accepting new patients
Texas Specialty Physicians CurrentSince Oct 1, 2025 Accepting new patients

Locations

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

4000 S Loop 256
Palestine, TX 75801
Phone (903) 731-5000

4002 S Loop 256
Ste S
Palestine, TX 75801
Phone (903) 729-2428

4002 S Loop 256
Ste B
Palestine, TX 75801
Phone (903) 731-5442

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

2850 Lewis Ln
Ste 103
Paris, TX 75460
Phone (903) 737-1680

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: jane.lee.1@20210.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417244849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N JEFFERSON AVE # 214",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754553937",
            "telephone_number": "903-939-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S LOOP 256 STE B",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018405",
            "telephone_number": "903-731-5479",
            "fax_number": "903-723-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 TX-256 Loop",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "75801",
            "country_code": "US",
            "telephone_number": "903-731-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T4200",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A141475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.