Active NPI
Nathan Donald Lee, DVM, DACVR-RO
- Specialist
- Greenville, SC
National Provider Identifier
1467815779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4358
- Practice address
- 393 Woods Lake Rd
Greenville, SC 29607-2775 - Phone
- (864) 233-7650
- NPI assigned
- Apr 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VET007317 | GA | |
| Specialist | 174400000X | 4358 | SC | Primary |
Addresses
Primary practice location
393 Woods Lake Rd
Greenville, SC 29607-2775
Mailing address
455 Abernathy Rd
Sandy Springs, GA 30328-2505
Phone (404) 459-0903
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VET007317 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1467815779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 ABERNATHY RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303282505",
"telephone_number": "404-459-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 WOODS LAKE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072775",
"telephone_number": "864-233-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "NATHAN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DVM, DACVR-RO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "VET007317",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "4358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.