Individual provider Active NPI

Dana E Lee, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1659515609
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04170344 Issued in GA
Practice address
415 Armour Dr NE
2109
Atlanta, GA 30324-3933
Phone
(770) 241-9409
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN155009 GA
Family Nurse Practitioner 363LF0000X F04170344 GA Primary

Addresses

Primary practice location

415 Armour Dr NE
2109
Atlanta, GA 30324-3933

Mailing address

PO Box 13612
Atlanta, GA 30324-0612
Phone (770) 241-9409

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127000857 GA Practitioner - Nurse Practitioner 9830456052 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN155009GAMDRegistered Nurse
F04170344GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Comprehensive Primary and Urgent Care LLC CurrentSince Mar 2, 2023 Accepting new patients
Vpa PC CurrentSince Nov 20, 2024 Accepting new patients
Vpa PC CurrentSince Nov 20, 2024 Accepting new patients

Locations

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

6131 S Norcross Tucker Rd
Ste 6
Norcross, GA 30093
Phone (678) 205-1959

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": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1659515609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13612",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303240612",
            "telephone_number": "770-241-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ARMOUR DR NE",
            "address_2": "2109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243933",
            "telephone_number": "770-241-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN155009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F04170344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.