Individual provider Active NPI

Benjamin C Lee, M.D.

  • Urology Physician
  • Stockbridge, GA
National Provider Identifier
1942278874
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
059093 Issued in GA
Practice address
180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone
(770) 474-5281
Fax
(770) 389-8674
NPI assigned
Mar 8, 2006
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 059093 GA Primary

Addresses

Primary practice location

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372

Mailing address

180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone (770) 474-5281

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
I20070725000524 GA Practitioner - Urology 3072561760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Greater Atlanta LLCGroup PAC ID 5294783734, 12 clinicians

Practice addresses (Care Compare)

180 N Park TRL
Stockbridge, GA 30281-7372
Phone (770) 474-5281

4799 Blue Ridge Dr
Suite 107
Blue Ridge, GA 30513-3468
Phone (770) 474-5281

685 S 9TH St
Griffin, GA 30224-4215
Phone (770) 474-5281

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of Greater Atlanta LLC CurrentSince Aug 1, 2007 Accepting new patients
Carolina Specialty Oncology, PA Urology Past Accepting new patients

Locations

685 S 9th St
Griffin, GA 30224

180 N Park Trl
Ste 210
Stockbridge, GA 30281

180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806

180 N Park Trl
Ste 100
Stockbridge, GA 30281

290 Country Club Dr
Ste 100
Stockbridge, GA 30281
Phone (678) 854-9500

290 Country Club Dr
Ste 230
Stockbridge, GA 30281

Interoperability endpoints

  • Direct secure messaging: blee@uga1669.srs-direct.com

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.

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1942278874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281",
            "fax_number": "770-389-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N PARK TRL STE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817372",
            "telephone_number": "770-474-5281",
            "fax_number": "770-389-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "059093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.