Individual provider Active NPI

Laurance Isaac Lee, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
National Provider Identifier
1679567275
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
043684 Issued in GA
Practice address
7505 Waters Ave
Suite C8
Savannah, GA 31406-3825
Phone
(912) 352-2606
Fax
(912) 352-0623
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 043684 GA
Diagnostic Ultrasound Physician 2085U0001X 043684 GA
Body Imaging Physician 2085B0100X 043684 GA
Neuroradiology Physician 2085N0700X 043684 GA
Nuclear Radiology Physician 2085N0904X 043684 GA
Pediatric Radiology Physician 2085P0229X 043684 GA
Diagnostic Radiology Physician 2085R0202X 043684 GA Primary

Addresses

Primary practice location

7505 Waters Ave
Suite C8
Savannah, GA 31406-3825

Mailing address

7505 Waters Ave
Suite C8
Savannah, GA 31406-3825
Phone (912) 352-2606

Other identifiers 6

IdentifierTypeStateIssuer
P00335320OtherGARR MCARE FOR SAVANNAH CHATHAM IMAGING
P00866844OtherGARR MCARE FOR OUTPATIENT IMAGING SERVICES
00747887AMedicaidGA
650826OtherGABLUE CROSS
G43684MedicaidSC
02493070MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040419000876 GA Practitioner - Diagnostic Radiology 2567369895 Reassigns benefits to 2 organizations
I20191010000369 SC Practitioner - Diagnostic Radiology 2567369895

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient Imaging Services LLCGroup PAC ID 7810022480, 11 clinicians
Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians

Practice addresses (Care Compare)

101 St Josephs Candler Dr
Pooler, GA 31322-9579
Phone (912) 748-0068

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-8132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043684GAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Sep 1, 2006 Accepting new patients
Outpatient Imaging Services LLC Diagnostic Radiology Past Accepting new patients
Metroamerican Radiology Consultants P a Diagnostic Radiology Past Accepting new patients
Rad-One, PA Diagnostic Radiology Past Accepting new patients

Locations

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

6602 Waters Ave
Bldg C
Savannah, GA 31406
Phone (912) 354-7676

7505 Waters Ave
Ste C8
Savannah, GA 31406
Phone (912) 352-2606

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1679567275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "SUITE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-352-2606",
            "fax_number": "912-352-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 WATERS AVE",
            "address_2": "SUITE C8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063825",
            "telephone_number": "912-352-2606",
            "fax_number": "912-352-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAURANCE",
        "middle_name": "ISAAC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "043684",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "043684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE FOR SAVANNAH CHATHAM IMAGING",
            "identifier": "P00335320",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE FOR OUTPATIENT IMAGING SERVICES",
            "identifier": "P00866844",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747887A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "650826",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G43684",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02493070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.