Individual provider Active NPI

Marcus Wayne Lee, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Ocean Springs, MS
National Provider Identifier
1689870982
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
20353 Issued in MS
Practice address
3631 Bienville Blvd
Suite a
Ocean Springs, MS 39564-5702
Phone
(228) 818-9620
Fax
(228) 818-9750
NPI assigned
Jun 23, 2007
Last updated
May 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20353 MS
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 20353 MS Primary

Addresses

Primary practice location

3631 Bienville Blvd
Suite a
Ocean Springs, MS 39564-5702

Mailing address

3631 Bienville Blvd
Suite a
Ocean Springs, MS 39564-5702
Phone (228) 818-9620

Other identifiers 2

IdentifierTypeStateIssuer
01931896MedicaidMS
302I373520OtherMSMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000674 MS Practitioner - NeurologyPractitioner - Pediatric Medicine 4587796925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
University of Mississippi School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Medical Park Dr
340B
Biloxi, MS 39532-2131
Phone (888) 815-2005

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-6441

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20353MSMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 14, 2014 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Apr 14, 2014 Accepting new patients
Singing River Health System PastSince Jul 1, 2013 Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

1721 Medical Park Dr
Ste 101
Biloxi, MS 39532
Phone (228) 385-5350

1010 Lakeland Pl
Flowood, MS 39232
Phone (601) 815-0600

2109 Hardy St
Hattiesburg, MS 39401
Phone (601) 296-3290

1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: mlee@direct.mhg.com
  • Direct secure messaging: mlee6430@ummc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1689870982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-9620",
            "fax_number": "228-818-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-9620",
            "fax_number": "228-818-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARCUS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "20353",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MS",
            "license": "20353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01931896",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "302I373520",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.