Individual provider Active NPI

Stephanie Lee, M.D.

  • Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1619030558
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME105072 Issued in FL
Practice address
2770 Capital Medical Blvd
Suite 110
Tallahassee, FL 32308-8417
Phone
(850) 877-5589
Fax
(850) 942-5793
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME105072 FL
Obstetrics & Gynecology Physician 207V00000X D0071888 MD
Gynecology Physician 207VG0400X ME105072 FL Primary

Addresses

Primary practice location

2770 Capital Medical Blvd
Suite 110
Tallahassee, FL 32308-8417

Mailing address

2770 Capital Medical Blvd
Suite 110
Tallahassee, FL 32308-8417
Phone (850) 877-5589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001287 FL Practitioner - Obstetrics/Gynecology 4385760511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

3217 Capital Medical Blvd
Tallahassee, FL 32308-4413
Phone (850) 320-7693

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105072FLMDObstetrics & Gynecology Physician
D0071888MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Jul 18, 2017 Accepting new patients
Womencare PA Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

3217 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 320-7693

Interoperability endpoints

  • Direct secure messaging: stephanie.lee.1@2183.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1619030558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 110",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-877-5589",
            "fax_number": "850-942-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD",
            "address_2": "SUITE 110",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088417",
            "telephone_number": "850-877-5589",
            "fax_number": "850-942-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME105072",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0071888",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME105072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.