Active NPI
Blair C Lee, M.D.
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 825 Fairfax Ave Ste 610
Norfolk, VA 23507-1914 - Phone
- (757) 446-8960
- NPI assigned
- Jun 23, 2010
- Last updated
- Apr 7, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Surgery Physician | 208600000X | 0101250184 | VA | |
| General Practice Physician | 208D00000X | 0101250184 | VA |
Addresses
Primary practice location
825 Fairfax Ave Ste 610
Norfolk, VA 23507-1914
Mailing address
3500 Vernon Mills CT
Chesapeake, VA 23323-1260
Other practice location 1
2790 Godwin Blvd Ste 305
Suffolk, VA 23434-8158
Phone (757) 934-4222
Other practice location 2
620 John Paul Jones Cir
Portsmouth, VA 23708-2197
Phone (757) 953-0669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101250184 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Evms Academic Physicians and Surgeons Health Services Foundation | Surgery | Past | Accepting new patients |
Locations
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2790 Godwin Blvd
Ste 305
Suffolk, VA 23434
Phone (757) 934-4222
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba EVMS Medical Group
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1912218173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 VERNON MILLS CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233231260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE STE 610",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-8960"
}
],
"practiceLocations": [
{
"address_1": "2790 Godwin Blvd Ste 305",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234348158",
"country_code": "US",
"telephone_number": "757-934-4222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 John Paul Jones Cir",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082197",
"country_code": "US",
"telephone_number": "757-953-0669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "BLAIR",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101250184",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101250184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.