Carolyn Jimmerson Lee, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

CJ007802 Issued in MI

Practice address

22100 Greenfield Rd
Oak Park, MI 48237-2550

Phone

(248) 910-6222

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Metro Health Care Center P.C.

  • Family Medicine Physician
  • St. Clair Shores, MI
  • NPI 1780656074
  NPD (past)
• Michigan Eldercare, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Williamsburg, MI
  • NPI 1962568956
  NPD (past)
• Westbrooke Medical Center

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1942440615
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1831152552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7042",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483027042",
            "telephone_number": "248-910-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22100 GREENFIELD RD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372550",
            "telephone_number": "248-910-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMERSON LEE",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CJ007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Swifty Transportation LLC
• Michael Jenkins Jr., EMT., CHT
• Sean Holcy Jernigan, B.S.W.
• Jewish Apartments and Services Fka Jewish Federation Apartments
• Jewish Family Service
• Johnson & Johnson P.T. L.L.C
• Johnson Dialysis Management, LLC
• Anthony Walter-Lewis Johnson
• Carla B Johnson
• Izzal Thomas Johnson, LMT

• Internal Medicine Physician in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.