Individual provider Active NPI

Amy M Lee, PA-C, MPH

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1669964912
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8785 Issued in GA
Practice address
3155 N Point Pkwy
Suite E100
Alpharetta, GA 30005
Phone
(770) 475-6222
NPI assigned
Jun 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8785 GA Primary

Addresses

Primary practice location

3155 N Point Pkwy
Suite E100
Alpharetta, GA 30005

Mailing address

3155 N Point Pkwy
Suite E100
Alpharetta, GA 30005-5494
Phone (770) 475-6222

Other practice location 1

4150 Five Forks Trickum Rd SW
Lilburn, GA 30047-3130
Phone (770) 921-4740

Other practice location 2

875 Johnson Ferry Rd NE
Atlanta, GA 30342
Phone (404) 257-9933

Other practice location 3

3155 N Point Pkwy
Suite E100
Alpharetta, GA 30005
Phone (770) 475-6222

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
I20181005002185 GA Practitioner - Physician Assistant 5193077923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroderm, P.C.Group PAC ID 8729076443, 33 clinicians

Practice addresses (Care Compare)

3155 N Point Pkwy
Suite 100
Alpharetta, GA 30005-5481
Phone (770) 475-6222

875 Johnson Ferry Rd
Atlanta, GA 30342-1418

875 Johnson Ferry Rd NE
Suite 001
Atlanta, GA 30342-1418
Phone (404) 257-9933

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metroderm, P.C. CurrentSince Sep 13, 2018 Accepting new patients
Preston Ridge Dermatology, PC Past Accepting new patients

Locations

3155 North Point Pkwy
Ste E100
Alpharetta, GA 30005
Phone (770) 475-6222

875 Johnson Fy Rd NE
Ste 300
Sandy Springs, GA 30342
Phone (404) 257-9933

Interoperability endpoints

  • Direct secure messaging: alee1@metroderm.emadirect.md

Organizations & group practices 2

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": "1527897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1669964912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "SUITE E100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055494",
            "telephone_number": "770-475-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "SUITE E100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-475-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Five Forks Trickum Rd SW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300473130",
            "country_code": "US",
            "telephone_number": "770-921-4740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Johnson Ferry Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30342",
            "country_code": "US",
            "telephone_number": "404-257-9933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3155 N Point Pkwy",
            "address_2": "Suite E100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "30005",
            "country_code": "US",
            "telephone_number": "770-475-6222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PA-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.