Lee Congleton III, M.D.
Individual provider Active NPI Urology Physician · Powell, TN
NPI 1699775718 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1699775718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- MD0000020494 (TN)
- Practice address
- 7557 Dannaher Dr Ste 230
Powell, TN 37849-3563 - Phone
- (865) 938-5222
- Fax
- (865) 938-5264
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Tennessee, HSC, College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tennessee Urology Associates, PLLC
Practice addresses (Care Compare)
1405 S Sizer Ave
Suite a
Jefferson City, TN 37760-2421
Phone (865) 690-3811
7557 Dannaher Dr
Suite 230
Powell, TN 37849-3563
Phone (865) 938-5222
800 Oak Ridge Tpke
A101
Oak Ridge, TN 37830-6927
Phone (865) 483-1093
9245 Park W Blvd
Knoxville, TN 37923-4425
Phone (865) 690-3811
Hospital & facility affiliations
- Parkwest Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100223000086 | TN | Practitioner - Urology |
2062501083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urology Associates, PLLC | Urology | Current |
Accepting new patients |
| Tennessee Urology Associates, PLLC | Urology | Current |
Accepting new patients |
| Chesapeake Urology Associates LLC | Urology | Current | Accepting new patients |
Locations
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
9041 Executive Park Dr
Ste 112
Knoxville, TN 37923
9724 Kingston Pike
Ste 800
Knoxville, TN 37922
9330 Park West Blvd
Ste 308
Knoxville, TN 37923
Phone (865) 691-3061
550 Town Creek Rd E
Ste 203204
Lenoir City, TN 37772
550 Town Creek Rd E
Ste 203
Lenoir City, TN 37772
Phone (865) 938-5222
800 Oak Ridge Tpke
Ste A101
Oak Ridge, TN 37830
Phone (865) 483-1093
7557 Dannaher Dr
Ste 230
Powell, TN 37849
Phone (865) 938-5222
Interoperability endpoints
- lcongleton@tua1320.srs-direct.com
- leecongleton@tuac.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD0000020494 | TN | Yes |
Addresses
Primary practice location
7557 Dannaher Dr Ste 230
Powell, TN 37849-3563
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020253199 | Other | TN | EEOICP |
| 3052785 | Medicaid | TN | |
| 1669416442 | Other | TN | GROUP NPI |
| 3106079 | Other | TN | BLUE CROSS |
| 3106070 | Other | TN | BLUE CROSS |
| CI2260 | Other | TN | RAILROAD MEDICARE |
NPI Registry JSON
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1699775718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557 DANNAHER DR STE 230",
"city": "POWELL",
"state": "TN",
"postal_code": "378493563",
"telephone_number": "865-938-5222",
"fax_number": "865-938-5264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGLETON",
"first_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD0000020494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EEOICP",
"identifier": "020253199",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3052785",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1669416442",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3106079",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3106070",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CI2260",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
- Laura Cockerham
- Molly Ann Coker
- Elick Jan Combs III
- Benjamin Lee Conaway
- Johnson Yates Congleton
- Jordan Elizabeth Cooke
- Kathryn M Coombes
- Adam Blake Cowan-Banker
- David Allan Cox
- Jimmy Dean Cox
All providers in Powell, TN · Urology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. 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.
- 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.