Individual provider Active NPI

Daniel Lee, MD

  • Obstetrics & Gynecology Physician
  • Southaven, MS
National Provider Identifier
1538485271
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23126 Issued in MS
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09924066MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140729002561 MS Practitioner - Obstetrics/Gynecology 4486892346 Reassigns benefits to 1 organization
I20140815000510 TN Practitioner - Obstetrics/Gynecology 4486892346 Reassigns benefits to 1 organization

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
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
23126MSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Aug 1, 2014 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

  • Direct secure messaging: daniel.lee.1@16415.direct.athenahealth.com
  • Direct secure messaging: dlee25225@mlh.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.