Individual provider Active NPI

Elizabeth Junkin Lee, MD

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1952758666
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD36723 Issued in AL
Practice address
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419
Phone
(205) 348-1770
Fax
(205) 348-5294
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD36723 AL Primary

Addresses

Primary practice location

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7419

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 1

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190507000725 AL Practitioner - Family PracticePractitioner - Hospitalist 8224313820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Aug 1, 2020 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 1, 2020 Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients
DCH Provider Services, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations (25 of 26)

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

1240 Cotton Ave SW
Birmingham, AL 35211

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

873 Dennison Ave SW
Ste 102
Birmingham, AL 35211
Phone (205) 774-3309

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

321 Whiskey Run Rd
Camden, AL 36726
Phone (334) 682-4128

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

1301 Highland Dr
Fairfield, AL 35064

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

610 Valley Rd
Fairfield, AL 35064
Phone (205) 277-2372

301 61st St
Fairfield, AL 35064

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

828 Cahaba River Dr
West Blocton, AL 35184

319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365

Interoperability endpoints

  • Direct secure messaging: elizabeth.lee.1@11347.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952758666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Belcher St",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "AL",
            "postal_code": "350422946",
            "country_code": "US",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELIZABETH",
        "middle_name": "JUNKIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD36723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.