Individual provider Active NPI

George Rozier Lee III, MD

  • Neurology Physician
  • Nashville, TN
National Provider Identifier
1962434233
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD0000036109 Issued in TN
Practice address
2506 Sunset PL
Nashville, TN 37212-4814
Phone
(615) 346-8182
Fax
(615) 829-8970
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2007-00084 NC
Neurology Physician 2084N0400X M9445 TX
Clinical Neurophysiology Physician 2084N0600X 0101245665 VA
Clinical Neurophysiology Physician 2084N0600X 062545 GA
Neurology Physician 2084N0400X MD0000036109 TN Primary
Neurology Physician 2084N0400X MD29116 SC
Neurology Physician 2084N0400X 01061735A IN
Neurology Physician 2084N0400X 39956 KY
Neurology Physician 2084N0400X 00027401 AL
Neurology Physician 2084N0400X MD.202398 LA
Clinical Neurophysiology Physician 2084N0600X 252283 NY
Clinical Neurophysiology Physician 2084N0600X D0068881 MD
Clinical Neurophysiology Physician 2084N0600X MD436801 PA
Clinical Neurophysiology Physician 2084N0600X 047547 CT
Clinical Neurophysiology Physician 2084N0600X MD60079043 WA

Addresses

Primary practice location

2506 Sunset PL
Nashville, TN 37212-4814

Mailing address

336 22ND N Ave
Nashville, TN 37203-1844
Phone (615) 346-8182

Other practice location 1

336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 297-3659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, TX, NY, MA, MI, AZ7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20050216000425 TN Practitioner - NeurologyPractitioner - Internal Medicine 7517919723 Reassigns benefits to 3 organizations
I20100505000188 SC Practitioner - Neurology 7517919723 Reassigns benefits to 1 organization
I20130627000188 TX Practitioner - Neurology 7517919723 Reassigns benefits to 2 organizations
I20131202000215 NY Practitioner - Neurology 7517919723 Reassigns benefits to 2 organizations
I20150422000301 MA Practitioner - Neurology 7517919723
I20200427001200 MI Practitioner - Neurology 7517919723
I20210616000001 AZ Practitioner - Neurology 7517919723 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027401ALMDNeurology Physician
01061735AINMDNeurology Physician
MD.202398LAMDNeurology Physician
2007-00084NCMDNeurology Physician
MD29116SCMDNeurology Physician
MD0000036109TNMDNeurology Physician
047547CTMDClinical Neurophysiology Physician
MD60079043WAMDClinical Neurophysiology Physician
54001CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NW Monitoring, LLC Neurology CurrentSince Feb 14, 2011 Accepting new patients
Real Time Tele-Epilepsy Consultants, PC CurrentSince Jan 11, 2020 Accepting new patients
Comprehensive Neuro Monitoring, LLC CurrentSince Mar 1, 2020 Accepting new patients
Rtna of New Jersey P a PastSince Mar 8, 2013 Accepting new patients
Real Time Neuromonitoring Associates NV, PC PastSince Jun 4, 2013 Accepting new patients
Real Time Neuromonitoring Associates of Ca PC PastSince Sep 13, 2012 Accepting new patients
NVMS of Kentucky LLC Past Accepting new patients

Locations

45211 Helm St
Plymouth, MI 48170
Phone (734) 525-9712

3004B Poston Ave
Nashville, TN 37203

3004B Poston Ave
Nashville, TN 37203
Phone (615) 294-3963

336 22nd Ave N
Nashville, TN 37203
Phone 6153468182920

Interoperability endpoints

  • Direct secure messaging: grlee064@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1962434233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 22ND N AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 SUNSET PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124814",
            "telephone_number": "615-346-8182",
            "fax_number": "615-829-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 22ND AVE N",
            "address_purpose": "LOCATION",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "country_code": "US",
            "telephone_number": "615-297-3659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GEORGE",
        "middle_name": "ROZIER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2007-00084",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M9445",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0101245665",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "GA",
            "license": "062545",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD0000036109",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "MD29116",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01061735A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "39956",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "00027401",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.202398",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "252283",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D0068881",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD436801",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CT",
            "license": "047547",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WA",
            "license": "MD60079043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.