Individual provider Active NPI

Mercer Lee III, MD

  • Gynecology Physician
  • Flowood, MS
National Provider Identifier
1497898027
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
07026 Issued in MS
Practice address
291 E Layfair Dr
Flowood, MS 39232-9527
Phone
(601) 936-9190
Fax
(601) 932-6714
NPI assigned
Feb 14, 2007
Last updated
Apr 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 07026 MS Primary

Addresses

Primary practice location

291 E Layfair Dr
Flowood, MS 39232-9527

Mailing address

291 E Layfair Dr
Flowood, MS 39232-9527
Phone (601) 936-9190

Other identifiers 1

IdentifierTypeStateIssuer
00018444MedicaidMS

Other names 1

  • Dr. Percy Mercer Lee III Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20090505000212 MS Practitioner - Obstetrics/Gynecology 1456409226 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07026MSMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Healthcare for Women PA CurrentSince Nov 28, 1988 Accepting new patients

Locations

291 E Layfair Dr
Jackson, MS 39232
Phone (601) 932-2230

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1497898027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329527",
            "telephone_number": "601-936-9190",
            "fax_number": "601-932-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E LAYFAIR DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329527",
            "telephone_number": "601-936-9190",
            "fax_number": "601-932-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MERCER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MS",
            "license": "07026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018444",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERCY",
            "last_name": "LEE",
            "middle_name": "MERCER",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.