Individual provider Active NPI

Johnathan Lee, M.D.

  • Surgery Physician
  • Meridian, MS
National Provider Identifier
1689815664
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23209 Issued in MS
Practice address
1800 12TH St
3Rd Floor
Meridian, MS 39301-4158
Phone
(601) 703-9970
NPI assigned
Mar 20, 2009
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AL2 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
I20141003001056 MS Practitioner - General SurgeryPractitioner - Thoracic Surgery 0042430597 Reassigns benefits to 7 organizations
I20200528003406 AL Practitioner - General Surgery 0042430597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic 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 IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Mastectomy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Hospital/Butler, Inc CurrentSince Apr 1, 2020 Accepting new patients
Anderson Regional Medical Center Surgery CurrentSince Nov 1, 2017 Accepting new patients
Laird Hospital, Inc. CurrentSince May 29, 2015 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Jan 1, 2026 Accepting new patients
Kemper Cah, Inc CurrentSince Jan 1, 2015 Accepting new patients
Kemper Cah, Inc. Current Accepting new patients
Laird Hospital, Inc. CurrentSince May 29, 2015 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Medical Foundation, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Rush Medical Foundation CurrentSince Jan 1, 2015 Accepting new patients
Rush Hospital/Butler, Inc CurrentSince Apr 1, 2020 Accepting new patients
Rush Hospital/Butler, Inc Current Accepting new patients
Laird Hospital, Inc. Surgery Current Accepting new patients
Rush Medical Foundation CurrentSince Jan 1, 2015 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

  • FHIR API: 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.

FacilityTypeRoleSince
Ochsner Scott RegionalMorton, MS, CCN 251323 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Rush Medical CenterMeridian, MS, CCN 250069 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Scott Regional Swing BedMorton, MS, CCN 25Z323 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Stennis HospitalDe Kalb, MS, CCN 251335 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Stennis Hospital Swing BedDe Kalb, MS, CCN 25Z335 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Specialty HospitalMeridian, MS, CCN 252004 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Choctaw GeneralButler, AL, CCN 011304 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Laird Hospital Swing BedUnion, MS, CCN 25Z322 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Laird HospitalUnion, MS, CCN 251322 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Watkins Hospital Swing BedQuitman, MS, CCN 25Z316 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Choctaw General Swing BedButler, AL, CCN 01Z304 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Watkins HospitalQuitman, MS, CCN 251316 Hospital Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- LakeLake, MS, CCN 258576 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-QuitmanQuitman, MS, CCN 258540 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Urgent Care-MeridianMeridian, MS, CCN 253986 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- PhiladelphiaPhiladelphia, MS, CCN 258579 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-Hwy 39Meridian, MS, CCN 253471 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- UnionUnion, MS, CCN 253495 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- CollinsvilleCollinsville, MS, CCN 258554 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- MortonMorton, MS, CCN 258577 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- DecaturDecatur, MS, CCN 258505 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-DekalbDe Kalb, MS, CCN 258564 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-LivingstonLivingston, AL, CCN 013989 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-MarionMarion, MS, CCN 258565 Rural health clinic Corporate Officer
Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center - ButlerButler, AL, CCN 013422 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Childrens Health CenterMeridian, MS, CCN 258575 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center - GilbertownGilbertown, AL, CCN 013472 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center- NewtonNewton, MS, CCN 258650 Rural health clinic Corporate Director
Operational/Managerial Control
Jul 1, 2022
Jul 1, 2022
Ochsner Health Center-North MeridianMeridian, MS, CCN 258651 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.

View all 29

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.

View all 17

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.