Individual provider Active NPI

Lee F Collier, MD

  • Internal Medicine Physician
  • Dublin, GA
National Provider Identifier
1780679365
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048033 Issued in GA
Practice address
104 Fairview Park Drive
Dublin, GA 31021
Phone
(478) 272-1366
Fax
(478) 277-1922
NPI assigned
Sep 20, 2005
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048033 GA Primary

Addresses

Primary practice location

104 Fairview Park Drive
Dublin, GA 31021

Mailing address

277 Industrial Blvd
P O Box 353
Dublin, GA 31040
Phone (478) 272-1366

Other identifiers 1

IdentifierTypeStateIssuer
000910115HMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050706000677 GA Practitioner - Internal Medicine 2163468620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kavuri and Collier Internal Medicine, LLCGroup PAC ID 5193051126, 2 clinicians

Practice addresses (Care Compare)

2400 Bellevue Rd 14 Erin Office PK
P O Box 353
Dublin, GA 31040-0353
Phone (478) 272-1366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048033GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Internal Medicine Internal Medicine Current Accepting new patients
Kavuri & Collier Internal Medicine, LLC Internal Medicine CurrentSince May 20, 2019 Accepting new patients
Meadows Regional Medical Center Inc Current Accepting new patients
Hospitalists at Fairview Park, LLC Past Accepting new patients

Locations

104 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-1366

104 Fairview Park Dr
Ste 300
Dublin, GA 31021
Phone (478) 246-4304

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBJHBD
  • Direct secure messaging: lee.collier@dimphy.gadirect.net
  • Direct secure messaging: lee.collier@gadirect.net
  • Direct secure messaging: lee.collier@mrmc.gadirect.net

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1780679365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 INDUSTRIAL BLVD",
            "address_2": "P O BOX 353",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31040",
            "telephone_number": "478-272-1366",
            "fax_number": "478-275-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIRVIEW PARK DRIVE",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-1366",
            "fax_number": "478-277-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "LEE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000910115H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.