Marvin Lee III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

030128 Issued in GA

Practice address

990 Whitlock Ave NW Ste a
Marietta, GA 30064-1940

Phone

(770) 943-7808

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, WV2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376
  Medicare reassignment NPD
• National Family Medical Associates of Georgia, LLC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1396527321
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Rural Physicians Group-Pannu PLLC

  • Hospitalist Physician
  • Greenwood Village, CO
  • NPI 1891236584

  Internal Medicine, WV

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA, WV

  Medicare reassignment
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD
• Phoebe Neurology

  • Neurology Physician
  • Albany, GA
  • NPI 1407176647
  NPD
• Leeway Medical Group, P.C.

  • Internal Medicine Physician
  • Douglasville, GA
  • NPI 1598857229
  NPD (past)
• Baptist Physician Associates LLC

  • Urgent Care Clinic/Center
  • Navarre, FL
  • NPI 1235128646

  Hospitalist

  NPD (past)
• Cogent Healthcare of Mississippi, Inc

  • Hospitalist Physician
  • Tupelo, MS
  • NPI 1578870168

  Internal Medicine

  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1700838232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "081-344-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 WHITLOCK AVE NW STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641940",
            "telephone_number": "770-943-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Collier Rd NW",
            "address_2": "Suite 635",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091613",
            "country_code": "US",
            "telephone_number": "770-400-2353",
            "fax_number": "678-423-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARVIN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "200701416",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "030128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908169",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyuk Jin Lee, DO
• Jamie Clower Lee, DNP, APRN-BC
• Jessie Lee, M.D.
• Jihyun Lee, RN
• Leslie Rose Lee, PA
• Michele Diane Lee
• Ming Howard Lee
• Page Sookhyun Lee, NP
• Paul H. Lee, PA-C
• Rhonda Kim Lee, NP-C

• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.