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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Urology
Also: Internal Medicine
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 (27 clinicians)

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 Hospital · Knoxville, TN · CCN 440173

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

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 IDStateProvider typePAC IDDetails
I20100223000086 TN Practitioner - Urology
Practitioner - Internal Medicine
2062501083 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Urology Associates, PLLC Urology Current
since May 1, 2014
Accepting new patients
Tennessee Urology Associates, PLLC Urology Current
since May 1, 2014
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

  • Direct secure messaging: lcongleton@tua1320.srs-direct.com
  • Direct secure messaging: leecongleton@tuac.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020253199OtherTNEEOICP
3052785MedicaidTN
1669416442OtherTNGROUP NPI
3106079OtherTNBLUE CROSS
3106070OtherTNBLUE CROSS
CI2260OtherTNRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2025.

{
    "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

All providers in Powell, TN · Urology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.