Individual provider Active NPI

Greg In Lee, M.D.

  • Plastic Surgery Physician
  • Marietta, GA
National Provider Identifier
1609227214
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
103760 Issued in GA
Practice address
2285 Asquith Ave SW # 200
Marietta, GA 30008-6092
Phone
(770) 464-5485
Fax
(770) 783-6775
NPI assigned
Jun 24, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2022-00508 NC
Plastic Surgery Physician 208200000X 103760 GA Primary
Plastic Surgery Physician 208200000X 125.068724 IL

Addresses

Primary practice location

2285 Asquith Ave SW # 200
Marietta, GA 30008-6092

Mailing address

2285 Asquith Ave SW # 200
Marietta, GA 30008-6092
Phone (770) 464-5485

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103760GAMDPlastic Surgery Physician
125.068724ILMDPlastic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: glee1055105@direct.novanthealth.org

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1609227214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 ASQUITH AVE SW # 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086092",
            "telephone_number": "770-464-5485",
            "fax_number": "770-783-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 ASQUITH AVE SW # 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300086092",
            "telephone_number": "770-464-5485",
            "fax_number": "770-783-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GREG",
        "middle_name": "IN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2022-00508",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "103760",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "125.068724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.