Johnathan Lee, M.D.
Individual provider Active NPI Surgery Physician · Meridian, MS
NPI 1689815664 · NPPES record last updated Mar 30, 2015
Key facts
- NPI
- 1689815664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 23209 (MS)
- Practice address
- 1800 12TH St
3Rd Floor
Meridian, MS 39301-4158 - Phone
- (601) 703-9970
- NPI assigned
- Mar 20, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 29
Medicare Care Compare profile
- 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
- Medical Foundation Inc
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 29
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141003001056 | MS | Practitioner - General Surgery |
0042430597 | Reassigns benefits to 7 organizations |
| I20200528003406 | AL | Practitioner - General Surgery | 0042430597 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | 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 | |
| Anderson Regional Medical Center | Surgery | Current |
Accepting new patients |
| Kemper Cah, Inc. | 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 | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Surgery | Current | Accepting new patients |
| Rush Medical Foundation | Current |
Accepting new patients | |
| Laird Hospital, Inc. | Current |
Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current |
Accepting new patients | |
| Rush Hospital/Butler, Inc | 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
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
2111 14th St
Meridian, MS 39301
Phone (601) 693-3834
1800 12th St
Fl 3
Meridian, MS 39301
Phone (601) 703-9970
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
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/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23209 | MS | Yes |
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
Other providers in Meridian, MS
- Lauderdale Emergency Group LLC
- James A Lauderdale III
- Alore Lea
- Stephen Leblanc
- Dong Keun Lee
- Leanne Call Lee
- Rebecca Lee
- Robbyn Lee
- Jawaan Leflore
- Kennedy Lemoine
All providers in Meridian, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.