Individual provider Active NPI

Jeremy Dennis Lee, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1568609378
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
27644 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Jan 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 81429 TN
Certified Registered Nurse Anesthetist 367500000X 27644 SC Primary

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6294

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, IN, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090223000196 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688739824 Reassigns benefits to 4 organizations
I20190701000225 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688739824 Reassigns benefits to 1 organization
I20211122001161 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688739824 Reassigns benefits to 1 organization
I20240328002459 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688739824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
13777TNMDPediatric Physical Therapist
81429TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Mar 29, 2014 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 29, 2014 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jun 1, 2019 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince May 13, 2019 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Nov 18, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Deaconess Hospital Inc CurrentSince Nov 15, 2021 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Singing River Health System Past Accepting new patients
Premier Anesthesia Services PC Past Accepting new patients

Locations

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

350 Blountville Hwy
Ste 108
Bristol, TN 37620
Phone (423) 844-6120

1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1568609378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-695-6294",
            "fax_number": "803-774-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-2686",
            "fax_number": "423-844-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEREMY",
        "middle_name": "DENNIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "81429",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "27644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.