Lee John Skandalakis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

027443 Issued in GA

Practice address

3193 Howell Mill Rd NW Ste 125
Atlanta, GA 30327-2100

Phone

(770) 696-3586

Fax

(877) 795-8175

NPI assigned

Jun 7, 2006

Last updated

Dec 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

General Surgery

Education

Emory University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
• Northside Hospital Hospital, Atlanta, GA, CCN 110161

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lee John Skandalakis, M.D., P.C.

  • Surgery Physician
  • Atlanta, GA
  • NPI 1205108156
  Medicare reassignment NPD Authorized official
• Peachtree Buckhead Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1871930495
  NPD (past)
• Piedmont Providers LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1548273592
  NPD (past)
• Piedmont Surgical Associates LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1649342874
  NPD (past)

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

• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Piedmont Hospital, Inc

  dba Piedmont Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1962461681
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1518907625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "770-696-3586",
            "fax_number": "877-795-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "770-696-3586",
            "fax_number": "877-795-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANDALAKIS",
        "first_name": "LEE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "27443",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "027443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00307117B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gwynn Sizemore, APRN
• Daniel Adib Skaf, MD
• Harold L Skaggs Jr., MD
• Catherine Skala, PA
• Skandalakis & Carroll, LLC
• Mark Albert Skellie, PSY.D.
• Chelsie Skelton, CPNP
• Devin Skelton
• Henry Michael Skelton
• John Paul Skendelas, M.D.

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.