Individual provider Active NPI

Christopher J Lee, M.D.

  • Otolaryngology Physician
  • Duluth, GA
National Provider Identifier
1649275751
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
234405 Issued in NY
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

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
234405NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J. Lee MD, P.C. Otolaryngology CurrentSince Sep 14, 2007 Accepting new patients
Christopher M. Shaari, M.D., P.C. Otolaryngology PastSince Sep 15, 2000 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.

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

Verify at the official NPI Registry.