Individual provider Active NPI

Travis Allen Lee, CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
National Provider Identifier
1639694086
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
21339 Issued in SC
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1436
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 0000185485 TN
Certified Registered Nurse Anesthetist 367500000X 21339 SC Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other practice location 2

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

Other practice location 3

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 533-2200

Other identifiers 1

IdentifierTypeStateIssuer
AN2712MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171129002635 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254698251 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians
Trident Anesthesia Group LLCGroup PAC ID 5294631545, 121 clinicians

Practice addresses (Care Compare)

506 E Cheves St
Suite 202
Florence, SC 29506-2616
Phone (843) 777-7000

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

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000185485TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC CurrentSince Nov 6, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2026 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Musc Community Physicians CurrentSince Sep 1, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2021 Accepting new patients
Atlantic Coast Anesthesia Services P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Jan 7, 2024 Accepting new patients
Musc Community Physicians CurrentSince Sep 1, 2025 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Oct 8, 2022 Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Jan 7, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince May 17, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince May 17, 2023 Accepting new patients
Trident Anesthesia Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2026 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

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

423 Barony St
Moncks Corner, SC 29461

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485
Phone (843) 722-8000

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: tlee373394@direct.musc.edu

Organizations & group practices 16

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 16

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1639694086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603484",
            "telephone_number": "803-765-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181442",
            "country_code": "US",
            "telephone_number": "803-533-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "TRAVIS",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "0000185485",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "21339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN2712",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.