Active NPI
Christopher J Lee, M.D.
- Otolaryngology Physician
- Duluth, GA
National Provider Identifier
1649275751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 234405
- Practice address
- 3500 Duluth Park LN
Suite 210
Duluth, GA 30096-3242 - Phone
- (770) 622-4400
- Fax
- (770) 622-7766
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 234405 | NY | Primary |
Addresses
Primary practice location
3500 Duluth Park LN
Suite 210
Duluth, GA 30096-3242
Mailing address
3500 Duluth Park LN
Suite 210
Duluth, GA 30096-3242
Phone (770) 622-4400
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080130000679 | GA | Practitioner - Otolaryngology | 8628029659 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Rutgers New Jersey Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3500 Duluth Park LN
Suite 210
Duluth, GA 30096-3230
Phone (770) 622-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234405 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J. Lee MD, P.C. | Otolaryngology | Current | Accepting new patients |
| Christopher M. Shaari, M.D., P.C. | Otolaryngology | Past | Accepting new patients |
| McPars Physical Therapy and Rehab Associates PC | Past | Accepting new patients | |
| Valley Ear, Nose and Throat | Otolaryngology | Past | Accepting new patients |
Locations
3500 Duluth Park Ln
Ste 210
Duluth, GA 30096
Phone (770) 475-3720
Organizations & group practices 4
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.
-
- Physical Therapist
- Austell, GA
- NPI 1114106010
-
- Otolaryngology Physician
- Hackensack, NJ
- NPI 1730291840
Otolaryngology
-
- Otolaryngology Physician
- Jefferson Valley, NY
- NPI 1437208642
Otolaryngology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1649275751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DULUTH PARK LN",
"address_2": "SUITE 210",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963242",
"telephone_number": "770-622-4400",
"fax_number": "770-622-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 DULUTH PARK LN",
"address_2": "SUITE 210",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963242",
"telephone_number": "770-622-4400",
"fax_number": "770-622-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "234405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
- 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.