Vanessa Lee, M.D.
Individual provider Active NPI Family Medicine Physician · Acworth, GA
NPI 1497716377 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1497716377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 93527 (GA)
- Practice address
- 3950 Cobb Pkwy NW Ste 401
Acworth, GA 30101-9528 - Phone
- (404) 857-9575
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 42
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Meharry Medical College School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care PA
Practice addresses (Care Compare)
3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone (404) 768-3351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in LA, AL, NC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Premier Home Health Agency |
Home health agency | Contracted Managing Employee (90%) 5% Or Greater Direct Ownership Interest (90%) Corporate Officer (90%) W-2 Managing Employee (90%) Operational/Managerial Control (90%) |
May 17, 2017 May 19, 2017 May 17, 2017 May 17, 2017 May 17, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040528000565 | LA | Practitioner - Emergency Medicine |
9335120914 | Reassigns benefits to 6 organizations |
| I20100225000065 | AL | Practitioner - Family Practice |
9335120914 | Reassigns benefits to 2 organizations |
| I20170922002358 | NC | Practitioner - Family Practice | 9335120914 | |
| I20230130002630 | GA | Practitioner - Family Practice | 9335120914 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29849 | AL | MD | Family Medicine Physician |
| 93527 | GA | MD | Family Medicine Physician |
| 025344 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current |
Accepting new patients | |
| Gateway Community Health Centers, Inc | Current |
Accepting new patients | |
| American Current Care PA | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Current |
Accepting new patients | |
| Rapid Urgent Care, Inc | Current |
Accepting new patients | |
| St Helena Parish Hospital | Current | Accepting new patients | |
| East Carroll Parish Hospital | Current |
Accepting new patients | |
| Stopwatch Urgent Care Centers LLC | Current |
Accepting new patients | |
| East Carroll Parish Hospital | Current |
Accepting new patients | |
| Gateway Community Health Centers, Inc. | Family Medicine | Current |
Accepting new patients |
| Gates County Medical Center LLC | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| Rapid Urgent Care, Inc. | Current |
Accepting new patients | |
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| St Helena Parish Hospital | Current |
Accepting new patients | |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| Caring Counselors II, LLC | Past | Accepting new patients |
Locations
2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117
688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155
3580 Atlanta Ave
Hapeville, GA 30354
Phone (404) 768-3351
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
1134 N Road St
Elizabeth Cty, NC 27909
Phone (252) 333-1047
201 E Ehringhaus St
Elizabeth Cty, NC 27909
Phone (252) 333-1047
501 Main St
Gatesville, NC 27938
Phone (252) 357-0522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 025344 | LA | |
| Family Medicine Physician | 207Q00000X | 29849 | AL | |
| Family Medicine Physician | 207Q00000X | 93527 | GA | Yes |
Addresses
Primary practice location
3950 Cobb Pkwy NW Ste 401
Acworth, GA 30101-9528
Mailing address
PO Box 578
Lagrange, GA 30241-0010
Phone (251) 767-6378
Other practice location 1
9238 Madison Blvd # 1300-B
Madison, AL 35758-9100
Phone (256) 449-1750
Other practice location 2
2540 Pepperell Pkwy
Opelika, AL 36801-6244
Phone (334) 737-0090
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1422223 | Medicaid | LA | |
| 163828 | Medicaid | AL |
NPI Registry JSON
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1497716377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302410010",
"telephone_number": "251-767-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 COBB PKWY NW STE 401",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019528",
"telephone_number": "404-857-9575"
}
],
"practiceLocations": [
{
"address_1": "9238 Madison Blvd # 1300-B",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357589100",
"country_code": "US",
"telephone_number": "256-449-1750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2540 Pepperell Pkwy",
"address_purpose": "LOCATION",
"city": "Opelika",
"state": "AL",
"postal_code": "368016244",
"country_code": "US",
"telephone_number": "334-737-0090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "VANESSA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "025344",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "29849",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "93527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1422223",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163828",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
- Amanda Dianna Ledbetter
- Albert Young Hoon Lee
- Daniel Jin Lee
- Jae Eun Lee
- Kristy H Lee
- Legacypointe Care Management of Georgia
- Legsdontwork
- Melissa G Lehman
- Tonya Lenoir
- Let'S Start Communicating, LLC
All providers in Acworth, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.