Organization Active NPI

Robert Lee DC PC

  • Chiropractor
  • Ellijay, GA
National Provider Identifier
1528290004
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005113 Issued in GA
Legal business name
ROBERT LEE DC PC
Practice address
9 Russell Dr
Suite201
Ellijay, GA 30540-5573
Phone
(706) 698-9679
Fax
(706) 698-9678
NPI assigned
Aug 17, 2009
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Robert W Lee, DCNPI 1124128293
Title
President
Phone
(706) 698-9679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005113 GA Primary

Addresses

Primary practice location

9 Russell Dr
Suite201
Ellijay, GA 30540-5573

Mailing address

9 Russell Dr
Suite 201
Ellijay, GA 30540-5573
Phone (706) 698-9679

Other names 1

  • Robert Lee DC PC Former legal business name

National Provider Directory

National Provider Directory

Locations

449 Industrial Blvd
Ste 130
Ellijay, GA 30540
Phone (706) 698-9679

9 Russell Dr
Ste 201
Ellijay, GA 30540
Phone (706) 636-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1528290004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR",
            "address_2": "SUITE 201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DR",
            "address_2": "SUITE201",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405573",
            "telephone_number": "706-698-9679",
            "fax_number": "706-698-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-698-9679",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Lee DC PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.