Individual provider Active NPI

Matthew Lee, NP-C

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1730536368
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CRNP-1-116206 Issued in AL
Practice address
4370 W Main St
Dothan, AL 36305-1056
Phone
(334) 794-5000
NPI assigned
May 24, 2016
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CRNP-1-116206 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-1056

Mailing address

450 Larned Loop
Cary, NC 27513-4652
Phone (334) 714-1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC, FL, TX, OK, VA, KS, IL, MA, OH, DC, NV, GA, MD, MN, NJ16 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
I20160706001941 AL Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 3 organizations
I20210226002146 NC Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20210817004185 FL Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20210818001266 TX Practitioner - Nurse Practitioner 6406148774
I20210818001954 OK Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20210820000687 VA Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20210820002589 KS Practitioner - Nurse Practitioner 6406148774
I20210921003548 IL Practitioner - Nurse Practitioner 6406148774
I20211109000086 MA Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20220228000911 OH Practitioner - Nurse Practitioner 6406148774
I20220523001002 DC Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20220621000675 NV Practitioner - Nurse Practitioner 6406148774
I20221027002934 GA Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization
I20240125001376 MD Practitioner - Nurse Practitioner 6406148774
I20240401001298 MN Practitioner - Nurse Practitioner 6406148774
I20240531003842 NJ Practitioner - Nurse Practitioner 6406148774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians
Dispatch Health Medical PCGroup PAC ID 9436490562, 15 clinicians
Dispatchhealth PCGroup PAC ID 2961815295, 18 clinicians
True North Health Navigation LLCGroup PAC ID 5294960696, 57 clinicians

Practice addresses (Care Compare)

123 Park Ave
West Springfield, MA 01089-3337
Phone (413) 998-1980

2 Park Way
1B
Upper Saddle River, NJ 07458-2345
Phone (201) 882-7526

4220 Apex Hwy
Suite 160
Durham, NC 27713-5295
Phone (303) 500-1518

5885 Glenridge Dr
Suite 100
Atlanta, GA 30328-5572
Phone (678) 321-8546

7200 Glen Forest Dr
Suite 106
Richmond, VA 23226-3768
Phone (804) 495-0053

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
63.66

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
010262CTMDPhysical Therapist
CRNP-1-116206ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC CurrentSince Jan 21, 2019 Accepting new patients
True North Health Navigation LLC CurrentSince Sep 1, 2023 Accepting new patients
Dispatchhealth Medical PC CurrentSince Jul 22, 2025 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 1, 2021 Accepting new patients
True North Health Navigation LLC Current Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Jul 1, 2021 Accepting new patients
Dispatch Health Medical PC CurrentSince May 1, 2024 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
True North Health Navigation LLC CurrentSince Jul 21, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Mar 14, 2024 Accepting new patients
Dispatchhealth-Arizona Current Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Oct 2, 2021 Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Jun 1, 2016 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Jul 1, 2021 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jan 1, 2019 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jul 30, 2021 Accepting new patients
Dispatchhealth, PC CurrentSince Nov 24, 2020 Accepting new patients
True North Health Navigation LLC PastSince Feb 15, 2022 Accepting new patients
Excella Home Health Agency, LLC PastSince Oct 2, 2021 Accepting new patients

Locations (25 of 27)

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546

2255 W Harrison St
Ste C
Chicago, IL 60612

75 Remit Dr
Chicago, IL 60675

980 N Michigan Ave
Ste 140
Chicago, IL 60611

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

755 Cliff Rd E
Burnsville, MN 55337
Phone (303) 505-1518

4220 Apex Hwy
Ste 160
Durham, NC 27713
Phone (919) 897-8784

2 Parkway
#1B
Upper Saddle River, NJ 07458
Phone (201) 882-7526

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

3841 W Charleston Blvd
Ste 203
Las Vegas, NV 89102
Phone (702) 848-4443

2525 NW Expressway St
Ste 102
Oklahoma City, OK 73112
Phone (405) 213-0190

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

Interoperability endpoints

  • Direct secure messaging: matthew.lee.1@13869.direct.athenahealth.com

Organizations & group practices 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1730536368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LARNED LOOP",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134652",
            "telephone_number": "334-714-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-794-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-08-22",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "CRNP-1-116206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.