Active NPI
John Levie Lee Jr., M.D.
- Gynecology Physician
- Alpharetta, GA
National Provider Identifier
1780685883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 018235
- Practice address
- 11975 Morris Rd
Suite 200
Alpharetta, GA 30005-4419 - Phone
- (770) 751-3600
- Fax
- (770) 751-3615
- NPI assigned
- Aug 10, 2005
- Last updated
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 018235 | GA | Primary |
Addresses
Primary practice location
11975 Morris Rd
Suite 200
Alpharetta, GA 30005-4419
Mailing address
5780 Peachtree Dunwoody Road
Suite 300
Atlanta, GA 30342-1513
Phone (404) 303-1224
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525511H | Medicaid | GA | |
| 000525511B | Medicaid | GA | |
| 000525511I | Medicaid | GA | |
| 000525511J | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018235 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1780685883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 PEACHTREE DUNWOODY ROAD",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421513",
"telephone_number": "404-303-1224",
"fax_number": "404-303-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11975 MORRIS RD",
"address_2": "SUITE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054419",
"telephone_number": "770-751-3600",
"fax_number": "770-751-3615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "LEVIE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "018235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525511H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525511B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525511I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525511J",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.