NPIMap

Individual provider Active NPI

John Paul Lee, M.D.

  • Family Medicine Physician
  • Forest, MS
National Provider Identifier
1992806699
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05638 Issued in MS
Practice address
1 Medical LN
Forest, MS 39074-4039
Phone
(601) 469-4861
Fax
(601) 469-1238
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05638 MS Primary

Addresses

Primary practice location

1 Medical LN
Forest, MS 39074-4039

Mailing address

1 Medical LN
PO Box 600
Forest, MS 39074-4039
Phone (601) 469-4861

Other identifiers 1

IdentifierTypeStateIssuer
0116049MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000225 MS Practitioner - Family Practice 0042378770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Healthcare Management Inc 32 clinicians

Practice addresses (Care Compare)

505 Airport Rd
Suite D
Forest, MS 39074-4033
Phone (601) 333-0947

Hospital & facility affiliations

  • Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Centerwell Home Health Home health agency, Flowood, MS, CCN 257126
  • Mississippi Homecare of Jackson Home health agency, Jackson, MS, CCN 257082
  • Accentcare Hospice & Palliative Care of Ms Hospice, Flowood, MS, CCN 251511
  • S E Lackey Memorial Hospital Hospital, Forest, MS, CCN 251300
  • Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
  • Bedford Care Center of Newton Nursing home, Newton, MS, CCN 255153

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Healthcare Management, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince May 25, 2012 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince May 25, 2012 Accepting new patients
Independent Healthcare Management, Inc. PastSince Aug 15, 2021 Accepting new patients
LLH Labs Past Accepting new patients

Locations

1 Medical Ln
Forest, MS 39074
Phone (601) 469-4681

1 Medical Ln
Ste B
Forest, MS 39074
Phone (601) 469-4861

526 Deerfield Dr
Unit C
Forest, MS 39074
Phone (601) 469-0291

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

330 N Broad St
Forest, MS 39074
Phone (601) 469-4151

110 Pioneer Way
Magee, MS 39111

100 Pioneer Way
Magee, MS 39111
Phone 6018496440245

Interoperability endpoints

  • Direct secure messaging: john.lee@phspch.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SE Lackey Memorial HospitalForest, MS, CCN 251300 Hospital Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Oct 14, 2016
Oct 14, 2016
Oct 14, 2016
Independent Healthcare Management IncForest, MS, CCN 25M300 Hospital Contracted Managing Employee (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 2, 2018
Jan 1, 2018
Jan 1, 2018
Jan 1, 2018
SE Lackey Memorial HospitalForest, MS, CCN 25Z300 Hospital Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Oct 14, 2016
Oct 14, 2016
Oct 14, 2016
Community Health ClinicForest, MS, CCN 258504 Rural health clinic Contracted Managing Employee (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Jan 1, 2018
Jan 1, 2018
Main Street Medical Clinic of MortonMorton, MS, CCN 258570 Rural health clinic Contracted Managing Employee
Corporate Officer		 Jan 1, 2017
Jan 1, 2017
Lackey Pediatric ClinicForest, MS, CCN 258608 Rural health clinic Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 1, 2018
Jan 1, 2018
Jan 1, 2018
Newton Family and Pediatric ClinicNewton, MS, CCN 258617 Rural health clinic Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Jan 1, 2022
Jan 1, 2022
Jan 1, 2022
Independent Healthcare Management IncMagee, MS, CCN 258653 Rural health clinic Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)		 Sep 1, 2020
Sep 20, 2020
Sep 1, 2020
Independent Healthcare Management IncRaleigh, MS, CCN 258684 Rural health clinic Corporate Officer (100%)
Operational/Managerial Control (100%)		 Jul 17, 2023
Jul 17, 2023

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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 8

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992806699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL LN",
            "address_2": "PO BOX 600",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744039",
            "telephone_number": "601-469-4861",
            "fax_number": "601-469-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL LN",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744039",
            "telephone_number": "601-469-4861",
            "fax_number": "601-469-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116049",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

Verify at the official NPI Registry.