Active NPI
Marion O Lee Jr., MD
- Interventional Pain Medicine Physician
- Cordele, GA
National Provider Identifier
1538110200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 37596
- Practice address
- 910 N 5TH St
Suite D
Cordele, GA 31015-3254 - Phone
- (229) 391-2910
- Fax
- (229) 386-4770
- NPI assigned
- May 15, 2006
- Last updated
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 37596 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 37596 | GA | Primary |
Addresses
Primary practice location
910 N 5TH St
Suite D
Cordele, GA 31015-3254
Mailing address
2773 Marshall Dr
Tifton, GA 31793-8101
Phone (229) 238-0121
Other practice location 1
902 N 7th St
Cordele, GA 31015-3234
Phone (229) 276-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37596 | GA | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1538110200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2773 MARSHALL DR",
"city": "TIFTON",
"state": "GA",
"postal_code": "317938101",
"telephone_number": "229-238-0121",
"fax_number": "229-238-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N 5TH ST",
"address_2": "SUITE D",
"city": "CORDELE",
"state": "GA",
"postal_code": "310153254",
"telephone_number": "229-391-2910",
"fax_number": "229-386-4770"
}
],
"practiceLocations": [
{
"address_1": "902 N 7th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153234",
"country_code": "US",
"telephone_number": "229-276-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "MARION",
"middle_name": "O",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "37596",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "37596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.