Active NPI
Chantel Maria Lee, P.A.-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1609925205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005514
- Practice address
- 2221 Peachtree St. NE
Suite 471D
Atlanta, GA 30309 - Phone
- (770) 865-9023
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005514 | GA | Primary |
| Medical Physician Assistant | 363AM0700X | NC | ||
| Medical Physician Assistant | 363AM0700X | 005514 | GA | |
| Surgical Physician Assistant | 363AS0400X | 005514 | GA |
Addresses
Primary practice location
2221 Peachtree St. NE
Suite 471D
Atlanta, GA 30309
Mailing address
1800 Peachtree St NW
Suite 700
Atlanta, GA 30309-2519
Phone (404) 350-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aica Orthopedics, P.C. | Past | Accepting new patients | |
| Aica Orthopedics, P. C. | Past | Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients | |
| Aica Orthopedics, P. C. | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1811946627
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1538118344
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1164480869
-
- Clinic/Center
- Stone Mountain, GA
- NPI 1528640737
-
- Multi-Specialty Clinic/Center
- Kennesaw, GA
- NPI 1730532698
-
- Clinic/Center
- Atlanta, GA
- NPI 1841708682
-
- Certified Registered Nurse Anesthetist
- Villa Rica, GA
- NPI 1194887455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1609925205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 PEACHTREE ST NW",
"address_2": "SUITE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092519",
"telephone_number": "404-350-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 PEACHTREE ST. NE",
"address_2": "SUITE 471D",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "770-865-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHANTEL",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "005514",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "005514",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "005514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.