Individual provider Active NPI

Dane Lee, MD

  • Family Medicine Physician
  • Abingdon, VA
National Provider Identifier
1952305609
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101054251 Issued in VA
Practice address
24530 Falcon Place Blvd
Abingdon, VA 24211-7657
Phone
(276) 619-0075
Fax
(276) 619-0077
NPI assigned
Jun 10, 2005
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 34234 TN
Family Medicine Physician 207Q00000X 0101054251 VA Primary

Addresses

Primary practice location

24530 Falcon Place Blvd
Abingdon, VA 24211-7657

Mailing address

24530 Falcon Place Blvd
Abingdon, VA 24211-7657
Phone (276) 619-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120718000590 VA Practitioner - Family Practice 7719143874 Reassigns benefits to 2 organizations
I20130913000273 TN Practitioner - Family Practice 7719143874 Reassigns benefits to 1 organization
I20200602001882 NC Practitioner - Family Practice 7719143874

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

245 Medical Park Dr
Suite C
Marion, VA 24354-1100
Phone (276) 378-3300

24530 Falcon Place Blvd
Suite 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

401 Scenic Dr
Rogersville, TN 37857-2452
Phone (423) 272-7261

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 34234TNMDFamily Medicine Physician
0101054251VAMDFamily Medicine Physician
34234TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 26, 2013 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 8, 2023 Accepting new patients
Wellmont Medical Associates Inc Family Medicine Current Accepting new patients
Solstas Lab Partners Group LLC Past Accepting new patients
St Charles Health Council Inc Past Accepting new patients

Locations

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

401 Scenic Dr
Rogersville, TN 37857
Phone (423) 272-7261

24530 Falcon Place Blvd
Abingdon, VA 24211
Phone (276) 619-0075

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Organizations & group practices 9

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 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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1952305609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24530 FALCON PLACE BLVD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117657",
            "telephone_number": "276-619-0075",
            "fax_number": "276-619-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24530 FALCON PLACE BLVD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117657",
            "telephone_number": "276-619-0075",
            "fax_number": "276-619-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD 34234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101054251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.