Active NPI
Robert Lee DC PC
- Chiropractor
- Ellijay, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR005113
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert W Lee, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Ellijay, GA
- NPI 1124128293
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.