Active NPI
Daniel Lee, MD
- Obstetrics & Gynecology Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 23126
- Practice address
- 7900 Airways Blvd Ste 2
Southaven, MS 38671-4113 - Phone
- (662) 349-5554
- Fax
- (662) 349-5570
- NPI assigned
- Apr 19, 2010
- Last updated
- Jan 23, 2020
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 51154 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | 23126 | MS | Primary |
Addresses
Primary practice location
7900 Airways Blvd Ste 2
Southaven, MS 38671-4113
Mailing address
8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09924066 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Tennessee, HSC, College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2382
Phone (901) 682-9222
7628 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-5554
8110 N Brother Blvd
Bartlett, TN 38133-2760
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.6 of 100
- Quality
- 92.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23126 | MS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Obstetrics and Gynecological Association PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens Health Specialists, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients | |
| Southwind Endoscopy Center | Past | Accepting new patients |
Locations
7628 Airways Blvd
Southaven, MS 38671
Phone (662) 349-5554
7900 Airways Blvd
Bldg C2
Southaven, MS 38671
Phone (662) 349-5554
3775 Covington Pike
Memphis, TN 38135
Phone (901) 373-8949
6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222
Interoperability endpoints
- daniel.lee.1@16415.direct.athenahealth.com
- dlee25225@mlh.direct-ci.com
- https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
Organizations & group practices 4
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.
-
dba Moga
- Obstetrics & Gynecology Physician
- Bartlett, TN
- NPI 1306884911
MS
-
- Obstetrics & Gynecology Physician
- Germantown, TN
- NPI 1598709263
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Ambulatory Surgical Clinic/Center
- Memphis, TN
- NPI 1245242817
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1538485271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 N BROTHER BLVD STE 200",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381332760",
"telephone_number": "901-255-5221",
"fax_number": "901-373-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 AIRWAYS BLVD STE 2",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714113",
"telephone_number": "662-349-5554",
"fax_number": "662-349-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "51154",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "23126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09924066",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.