Individual provider Active NPI

Mark Allen Lee, M.D.

  • Emergency Medicine Physician
  • Thomasville, GA
National Provider Identifier
1619028255
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
TRN9209 Issued in FL
Practice address
100 S Madison St
Thomasville, GA 31792-5473
Phone
(229) 236-0831
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 42

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 42

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch County Hospital Authority 13 clinicians
Southland Clinch Emergency Medical Services, LLC 2 clinicians
Southland Emergency Medical Services Consolidated, LLC 48 clinicians
Southland Bainbridge Hospitalist Group, LLC 54 clinicians
Southland Burke Emergency Medical Services, LLC 20 clinicians
Southland Dodge Emergency Medical Services, LLC 12 clinicians

Practice addresses (Care Compare)

1050 Valdosta Hwy
Homerville, GA 31634-9701
Phone (912) 487-5211

145 E Peacock St
Cochran, GA 31014-7846
Phone (229) 200-4950

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 236-0831

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

90 E Stephens St
Camilla, GA 31730-1836
Phone (229) 336-5284

901 Griffin Ave
Eastman, GA 31023-6720
Phone (478) 448-4000

Hospital & facility affiliations

  • Optim Medical Center - Screven Hospital, Sylvania, GA, CCN 111312
  • SGMC Berrien Campus Hospital, Nashville, GA, CCN 110234
  • SGMC Health Lanier Hospital, Lakeland, GA, CCN 111326
  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, TN, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080409000740 GA Practitioner - Emergency Medicine 7113004524 Reassigns benefits to 25 organizations
I20201008001562 AL Practitioner - Emergency Medicine 7113004524 Reassigns benefits to 1 organization
I20250327003224 TN Practitioner - Emergency Medicine 7113004524 Reassigns benefits to 1 organization
I20260303001129 FL Practitioner - Emergency Medicine 7113004524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN9209FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Behavioral Health Services LLC CurrentSince May 1, 2020 Accepting new patients
SMD EMS Group LLC Emergency Medicine CurrentSince Dec 22, 2025 Accepting new patients
Southland Burke Emergency Medical Services, LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Southland Clinch Emergency Medical Services, LLC Emergency Medicine CurrentSince Mar 12, 2018 Accepting new patients
Southland-Nashville Emergency Services, LLC. Emergency Medicine Current Accepting new patients
Southland - Lakeland Medical Services, LLC CurrentSince Dec 1, 2012 Accepting new patients
Southland Hawkinsville Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Jul 7, 2014 Accepting new patients
Southland-Nashville Emergency Services, LLC CurrentSince Sep 17, 2011 Accepting new patients
Southland Cochran Emergency Medical Services, LLC Emergency Medicine CurrentSince Oct 18, 2014 Accepting new patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Union County Hospital Authority CurrentSince Nov 12, 2015 Accepting new patients
Southland TN Emergency Medical Services LLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
Southland Chatuge Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Southland Dodge Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Chatuge Regional Hospital Inc Current Accepting new patients
SGMP Southland LLC CurrentSince Jul 1, 2013 Accepting new patients
Southland Union Emergency Medical Services, LLC CurrentSince Jul 1, 2017 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Jun 1, 2016 Accepting new patients
Wills Memorial Emergency Medical Services, LLC Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Southland Optim Screven Emergency Medical Services LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Clinch County Hospital Authority CurrentSince Dec 1, 2007 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Chatuge Regional Hospital Inc CurrentSince Jun 1, 2016 Accepting new patients
Southland Taylor Hospitalist Group, LLC CurrentSince Aug 29, 2022 Accepting new patients
Southland Hospitalist Group, LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Union County Hospital Authority CurrentSince Nov 12, 2015 Accepting new patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Feb 15, 2016 Accepting new patients
Georgia Pines Community Service Board CurrentSince Jan 6, 2018 Accepting new patients
Southland Emergency Medical Services, L.L.C Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Early Memorial Hospital Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Emergency Medicine South LLC Emergency Medicine Past Accepting new patients
BCH Medical Investors, LLC Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations (25 of 37)

700 E Cottonwood Rd
Dothan, AL 36301
Phone (334) 793-2120

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

118 N Main St
Boston, GA 31626
Phone (229) 236-0861

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

1050 Valdosta Hwy
Homerville, GA 31634
Phone (912) 383-6575

116 W Thigpen Ave
Ste D
Lakeland, GA 31635
Phone (229) 482-8585

116 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 482-8440

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

1221 E McPherson Ave
Nashville, GA 31639
Phone (229) 543-7100

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

247 S Main St
Reidsville, GA 30453
Phone (478) 787-6255

215 Mims Rd
Sylvania, GA 30467
Phone (912) 557-1207

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X TRN9209 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

100 S Madison St
Thomasville, GA 31792-5473

Mailing address

655 W 8TH St # C506
Clinical Center, 1St Floor
Jacksonville, FL 32209-6511
Phone (904) 244-3837

Other practice location 1

315 Avalon Way
Thomasville, GA 31792-1902
Phone (229) 200-4019

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2022.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1619028255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST # C506",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-3837",
            "fax_number": "904-244-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-236-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Avalon Way",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317921902",
            "country_code": "US",
            "telephone_number": "229-200-4019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "TRN9209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.