Active NPI
Tracey R Lemon, MD
- Obstetrics & Gynecology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- GA050723
- Practice address
- 315 Boulevard NE
Ste 224
Atlanta, GA 30312-1200 - Phone
- (404) 265-6888
- Fax
- (404) 880-0807
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | GA050723 | GA | Primary |
Addresses
Primary practice location
315 Boulevard NE
Ste 224
Atlanta, GA 30312-1200
Mailing address
315 Boulevard NE
Ste 224
Atlanta, GA 30312-1200
Phone (404) 265-6888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000934227D | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050127000268 | GA | Practitioner - Obstetrics/Gynecology | 0648220103 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Meharry Medical College School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Family Health Centers of Georgia, Inc
Practice addresses (Care Compare)
868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 756-1400
Hospital & facility affiliations
- Emory University Hospital Midtown
- Wellstar Kennestone Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA050723 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Current | Accepting new patients | |
| The Family Health Centers of Georgia, Inc | Past | Accepting new patients |
Locations
315 Boulevard NE
Ste 224
Atlanta, GA 30312
Phone (404) 265-6888
868 York Ave SW
Atlanta, GA 30310
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1720080989
GA
-
- Federally Qualified Health Center (FQHC)
- McDonough, GA
- NPI 1982489555
-
- Federally Qualified Health Center (FQHC)
- Marietta, GA
- NPI 1285727396
-
- Federally Qualified Health Center (FQHC)
- Morrow, GA
- NPI 1285353946
-
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1790404457
Hospital & facility affiliations 2
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": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1881658201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BOULEVARD NE",
"address_2": "STE 224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121200",
"telephone_number": "404-265-6888",
"fax_number": "404-880-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BOULEVARD NE",
"address_2": "STE 224",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121200",
"telephone_number": "404-265-6888",
"fax_number": "404-880-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON",
"first_name": "TRACEY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "GA050723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000934227D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.