Active NPI
Johnathan Lee, M.D.
- Surgery Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23209
- Practice address
- 1800 12TH St
3Rd Floor
Meridian, MS 39301-4158 - Phone
- (601) 703-9970
- NPI assigned
- Mar 20, 2009
- Last updated
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23209 | MS | Primary |
Addresses
Primary practice location
1800 12TH St
3Rd Floor
Meridian, MS 39301-4158
Mailing address
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 703-9970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Deaconess Homecare- Region I
- Ochsner Rush Hospital
- Ochsner Choctaw General
- Anderson Regional Medical Center
- Baptist Medical Center-Yazoo
- Ochsner Specialty Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Mastectomy | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 49 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Anderson Regional Medical Center | Surgery | Current | Accepting new patients |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Kemper Cah, Inc | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Laird Hospital, Inc. | Current | Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Rush Medical Foundation | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Laird Hospital, Inc. | Surgery | Current | Accepting new patients |
| Rush Medical Foundation | Current | Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients |
Locations
1404 E Pushmataha St
Butler, AL 36904
Phone (205) 459-4400
401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100
9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
1800 12th St
Fl 3
Meridian, MS 39301
Phone (601) 703-9970
2111 14th St
Meridian, MS 39301
Phone (601) 693-3834
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
25117 Highway 15
Union, MS 39365
Phone (601) 774-8214
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 29
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ochsner Scott Regional | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Rush Medical Center | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Scott Regional Swing Bed | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Stennis Hospital | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Stennis Hospital Swing Bed | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Specialty Hospital | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Choctaw General | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Laird Hospital Swing Bed | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Laird Hospital | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Watkins Hospital Swing Bed | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Choctaw General Swing Bed | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Watkins Hospital | Hospital | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Lake | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-Quitman | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Urgent Care-Meridian | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Philadelphia | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-Hwy 39 | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Union | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Collinsville | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Morton | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Decatur | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-Dekalb | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-Livingston | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-Marion | Rural health clinic | Corporate Officer Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center - Butler | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Childrens Health Center | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center - Gilbertown | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center- Newton | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
| Ochsner Health Center-North Meridian | Rural health clinic | Corporate Director Operational/Managerial Control |
Jul 1, 2022 Jul 1, 2022 |
Owned or controlled facilities with NPI records 29
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Ochsner Health Center-Hwy 39
- Rural Health Clinic/Center
- Meridian, MS
- NPI 1275879314
Corporate Director, Operational/Managerial Control
-
dba Ochsner Stennis Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- De Kalb, MS
- NPI 1518260322
Corporate Director, Operational/Managerial Control
-
dba Ochsner Stennis Hospital
- Critical Access Hospital
- De Kalb, MS
- NPI 1679875645
Corporate Director, Operational/Managerial Control
-
dba Ochsner Health Center-Dekalb
- Rural Health Clinic/Center
- De Kalb, MS
- NPI 1912348616
Corporate Director, Operational/Managerial Control
-
dba Ochsner Health Center-Marion
- Rural Health Clinic/Center
- Marion, MS
- NPI 1669812962
Corporate Director, Corporate Officer, Operational/Managerial Control
-
dba Ochsner Health Center- Collinsville
- Rural Health Clinic/Center
- Collinsville, MS
- NPI 1073959375
Corporate Director, Operational/Managerial Control
-
dba Ochsner Laird Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Union, MS
- NPI 1033176276
Corporate Director, Operational/Managerial Control
-
dba Ochsner Health Center- Decatur
- Rural Health Clinic/Center
- Decatur, MS
- NPI 1033460878
Corporate Director, Operational/Managerial Control
-
dba Ochsner Childrens Health Center
- Rural Health Clinic/Center
- Meridian, MS
- NPI 1114330347
Corporate Director, Operational/Managerial Control
-
dba Ochsner Health Center- Newton
- Rural Health Clinic/Center
- Newton, MS
- NPI 1194323170
Corporate Director, Operational/Managerial Control
-
dba Ochsner Health Center- Philadelphia
- Rural Health Clinic/Center
- Philadelphia, MS
- NPI 1275873572
Corporate Director, Operational/Managerial Control
-
dba Ochsner Laird Hospital
- Critical Access Hospital
- Union, MS
- NPI 1518924752
Corporate Director, Operational/Managerial Control
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
dba Baptist Anderson Professional Services
- Specialist
- Meridian, MS
- NPI 1043764699
Surgery
-
dba Ochsner Stennis Hospital Professional Services
- Emergency Medicine Physician
- De Kalb, MS
- NPI 1346546306
-
dba Ochsner Laird Hospital Professional Services
- Emergency Medicine Physician
- Union, MS
- NPI 1821046798
Surgery
-
dba Professional Services Division
- Anesthesiology Physician
- Meridian, MS
- NPI 1588625594
-
dba Ochsner Choctaw General
- Critical Access Hospital
- Butler, AL
- NPI 1184993727
-
dba Ochsner Choctaw General Professional Services
- Emergency Medicine Physician
- Butler, AL
- NPI 1811268592
-
dba Ochsner Health Center-Hwy 39
- Rural Health Clinic/Center
- Meridian, MS
- NPI 1275879314
-
dba Ochsner Childrens Health Center
- Rural Health Clinic/Center
- Meridian, MS
- NPI 1114330347
-
dba Ochsner Rush Medical Center Emergency Room Professional Services
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
dba Ochsner Specialty Hospital
- Long Term Care Hospital
- Meridian, MS
- NPI 1003873225
Long-term care hospital
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
-
dba Deaconess HomeCare
- Home Health Agency
- Laurel, MS
- NPI 1326039470
-
dba AccentCare Home Health of Carthage
- Home Health Agency
- Carthage, MS
- NPI 1275674533
-
dba Ochsner Choctaw General
- Critical Access Hospital
- Butler, AL
- NPI 1184993727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1689815664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"address_2": "3RD FLOOR",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHNATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-20",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "23209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.