Anna Jiyoung Lee-Mulay, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD0000057280 Issued in TN

Practice address

1575 Parr Ave Ste B
Dyersburg, TN 38024

Phone

(731) 286-1510

NPI assigned

May 14, 2014

Last updated

Sep 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Anna Jiyoung Lee Other name

Medicare fee-for-service enrollment

Enrolled in TN, MO2 enrollments

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 2

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney Experts PLLCGroup PAC ID 5597015131, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG Union City Dialysis facility, Union City, TN, CCN 442657
• Dci Humboldt Dialysis facility, Humboldt, TN, CCN 442532
• FKC Dyersburg Dialysis facility, Dyersburg, TN, CCN 442774
• Dci Jackson Dialysis facility, Jackson, TN, CCN 442504
• DaVita Lewis Creek Dialysis Dialysis facility, Dyersburg, TN, CCN 442754
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Select Specialty Hospital - West Tennessee Long-term care hospital, Jackson, TN, CCN 442018

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aleemulay37474@direct.davitaphysiciansolutions.com

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.

• Kidney Experts PLLC

  dba The Kidney Experts

  • Nephrology Physician
  • Dyersburg, TN
  • NPI 1225529142

  MO

  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Humboldt, TN
  • NPI 1396778775

  Dialysis facility

  Care Compare affiliation Name & address match
• Dialysis Clinic, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jackson, TN
  • NPI 1306874953

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Dyersburg, LLC

  dba Fresenius Kidney Care Dyersburg

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dyersburg, TN
  • NPI 1548852247

  Dialysis facility

  Care Compare affiliation Name & address match
• Isd Renal Inc

  dba Lewis Creek Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dyersburg, TN
  • NPI 1619459682

  Dialysis facility

  Care Compare affiliation Name & address match
• RCG Martin, LLC

  dba Renal Care Group Union City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Union City, TN
  • NPI 1619089448

  Dialysis facility

  Care Compare affiliation Name & address match
• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Select Specialty Hospital - West Tennessee, LLC

  • Long Term Care Hospital
  • Jackson, TN
  • NPI 1053023713

  Long-term care hospital

  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1457762304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 PARR AVE STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243151",
            "telephone_number": "731-286-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 PARR AVE STE B",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-286-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53792",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "fax_number": "608-270-5602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "382373309",
            "country_code": "US",
            "telephone_number": "731-286-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE-MULAY",
        "first_name": "ANNA",
        "middle_name": "JIYOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "65894-20",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD0000057280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "LEE",
            "middle_name": "JIYOUNG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alison Knack
• Kroger Limited Partnership I (Kroger Pharmacy)
• Satyendra Kumar, AU.D.
• Gayla B Lane, PTA
• Victoria Lansdale-Graves, DDS
• Amanda Lee
• Joan H Lee, APN
• Amanda Marie Leedy, RN
• Melissa Carol Lefave, CRNA
• John Marcus Legan, MD

• Nephrology Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.

Verify at the official NPI Registry.