Individual provider Active NPI

Terri Chang Lee, FNP-C

  • Family Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1457996274
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012553 Issued in NC
Practice address
766 Hartness Rd
Statesville, NC 28677-3425
Phone
(704) 954-8277
Fax
(704) 954-8199
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012553 NC Primary

Addresses

Primary practice location

766 Hartness Rd
Statesville, NC 28677-3425

Mailing address

766 Hartness Rd
Statesville, NC 28677-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115003320 NC Practitioner - Nurse Practitioner 2961837133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

544 Brawley School Rd
Suite a
Mooresville, NC 28117-9393
Phone (704) 360-5190

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Dec 16, 2019 Accepting new patients
Iredell Physician Network LLC CurrentSince Dec 16, 2019 Accepting new patients
Iredell Physician Network LLC Past Accepting new patients

Locations

1375 4th Street Dr NW
Hickory, NC 28601
Phone (828) 322-1213

544 Brawley School Rd
Ste A
Mooresville, NC 28117
Phone (606) 573-4440

544 Brawley School Rd
Ste C
Mooresville, NC 28117
Phone (704) 360-9299

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

774 Hartness Rd
Statesville, NC 28677
Phone (704) 768-3030

766 Hartness Rd
Ste C
Statesville, NC 28677
Phone (704) 954-8277

Interoperability endpoints

  • Direct secure messaging: terrilee2@imhi.allscriptsdirect.net
  • Direct secure messaging: terri.lee@iredell.cernerdirect.com

Organizations & group practices 3

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1457996274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773425",
            "telephone_number": "704-954-8277",
            "fax_number": "704-954-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERRI",
        "middle_name": "CHANG",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.