Individual provider Active NPI

Joseph Glenn Lee, RPA, RA

  • Radiology Practitioner Assistant
  • Powder Springs, GA
National Provider Identifier
1659488443
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
Practice address
122 Crestworth CT
Powder Springs, GA 30127-5777
Phone
(404) 545-2731
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular-Interventional Technology Radiologic Technologist 2471C1101X
Computed Tomography Radiologic Technologist 2471C3401X
Radiology Practitioner Assistant 243U00000X Primary

Addresses

Primary practice location

122 Crestworth CT
Powder Springs, GA 30127-5777

Mailing address

122 Crestworth CT
Powder Springs, GA 30127-5777
Phone (404) 545-2731

Other identifiers 2

IdentifierTypeStateIssuer
06GA1247OtherCBRPA
260372OtherARRT (R)(CV)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1659488443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CRESTWORTH CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275777",
            "telephone_number": "404-545-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CRESTWORTH CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275777",
            "telephone_number": "404-545-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "GLENN",
        "credential": "RPA, RA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBRPA",
            "identifier": "06GA1247",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT (R)(CV)",
            "identifier": "260372",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.