Individual provider Active NPI

James Y Lee, D.O.

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1790715621
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
056586 Issued in GA
Practice address
310 Gold Creek Trail
Suite 200
Woodstock, GA 30188
Phone
(770) 771-5600
Fax
(770) 771-5609
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 056586 GA Primary

Addresses

Primary practice location

310 Gold Creek Trail
Suite 200
Woodstock, GA 30188

Mailing address

310 Gold Creek Trail
Suite 200
Woodstock, GA 30188
Phone (770) 771-5600

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
I20060103000333 GA Practitioner - Family Practice 3375565575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

250 Parkbrooke PL
Suite 300
Woodstock, GA 30189-6401
Phone (770) 442-1911

Hospital & facility affiliations

  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13416MIMDGeneral Practice Dentistry
056586GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Sep 30, 2022 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Priority Primary Care Past Accepting new patients
Epmg of Michigan, P.C. PastSince Aug 4, 2024 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

3790 Pleasant Hill Rd
Ste 170
Duluth, GA 30096
Phone (770) 360-1020

250 Parkbrooke Pl
Ste 300
Woodstock, GA 30189
Phone (770) 870-1780

310 Gold Creek Trl
Ste 200
Woodstock, GA 30188
Phone (770) 771-5600

Interoperability endpoints

  • Direct secure messaging: jameslee@napc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAABAA/Endpoint/JAABAA

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1790715621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRAIL",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-771-5600",
            "fax_number": "770-771-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRAIL",
            "address_2": "SUITE 200",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30188",
            "telephone_number": "770-771-5600",
            "fax_number": "770-771-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "056586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.