Michael A Lee, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

010960 Issued in GA

Practice address

30 Chandler Ctr
Hartwell, GA 30643-7914

Phone

(706) 376-7147

Fax

(706) 377-4797

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lee Dental Group PC

  • General Practice Dentistry
  • Hartwell, GA
  • NPI 1982784583
  NPD (past) Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1932360708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHANDLER CTR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437914",
            "telephone_number": "706-376-7147",
            "fax_number": "706-377-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CHANDLER CTR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437914",
            "telephone_number": "706-376-7147",
            "fax_number": "706-377-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "010960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00472051B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James P Kay Jr., DMD
• Lake Hartwell Family Medicine, LLC
• Anthony Lau, MD
• Jennifer Lynn Law, MS OTR/L
• Lee Dental Group PC
• Brittany B Lewis, FNP
• Katarika Banks Lewis
• Kimberly Renee Little, RRT
• Rebecca Loney, PT
• Lela Longworth, MASSAGE THERAPIST

• Dentist in Hartwell, GA
• Providers in Hartwell, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.

Verify at the official NPI Registry.