ROBERT LEE DC PC (NPI# 1528290004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528290004 |
| Entity Type | Organization |
| Organization Name | ROBERT LEE DC PC |
| Other Organization Name | ROBERT LEE DC PC |
| Practice Address |
9 Russell Dr Suite201 Ellijay GA 30540-5573 |
| Mailing Address |
9 Russell Dr Suite 201 Ellijay GA 30540-5573 |
| Practice Telephone | 7066989679 |
| Practice Fax Number | 7066989678 |
| Mailing Telephone | 7066989679 |
| Mailing Fax Number | 7066989678 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2012-06-06 |
| Authorized Official Name | ROBERT W LEE (PRESIDENT) |
| Authorized Official Telephone | 7066989679 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR005113 | GA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE PTAN | 202G700756 | 01 |
| Other Name | Type Code |
|---|---|
| Robert Lee DC PC | Former Legal Business Name - Organization |
| Street Address |
9 RUSSELL DR SUITE201 |
| City | ELLIJAY |
| State | GA |
| Zip Code | 30540-5573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124128293 | Robert W Lee | Chiropractor | 9 Russell Dr, Suite 201, Ellijay, GA 30540-5573 | 2006-09-25 |
| 1497870539 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 9 Russell Dr, Ste 101, Ellijay, GA 30540-4001 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929517 | Sandi Lynn Harris | Pharmacist | 192 1st St, East Ellijay, GA 30540 | 2017-01-31 |
| 1194028688 | Heartlite Hospice Ellijay, Inc. | Hospice Care, Community Based | 163 Dalton Street, East Ellijay, GA 30540 | 2010-12-06 |
| 1972816874 | Nicole Penland Bond | Nurse Practitioner | 174 Highland Crossing East, East Ellijay, GA 30540 | 2010-07-20 |
| 1689994477 | Immediate Medcare, LLC | Clinic/Center | 174 Highland Crossing South, East Ellijay, GA 30540 | 2010-06-03 |
| 1316274830 | Huffs Select Care Clinic PC | Clinic/Center | 136-a Industrial Blvd, Ellijay, GA 30540 | 2009-11-04 |
| 1598924615 | Hospice Advantage, LLC. | Hospice Care, Community Based | 583 Highland Xing, Suite 120, East Ellijay, GA 30540 | 2008-06-04 |
| 1083891196 | Roy Elie Abrahamian | Internal Medicine | 309 Highland Pkwy Ste 200, East Ellijay, GA 30540 | 2008-01-31 |
| 1285817213 | Quality Respi-care Inc | Durable Medical Equipment & Medical Supplies | 97 Hefner St Ste 102, East Ellijay, GA 30540 | 2007-12-13 |
| 1275738163 | Jennifer Moss Houle | Technician, Other | 7 Depot Street, Ellijay, GA 30540 | 2007-06-19 |
| 1265633697 | Alicia S Lovelace | Specialist | 630 Blazing Star Rd, Ellijay, GA 30540 | 2007-05-31 |
| Find all providers in zip 30540 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982193595 | Carley Whitlow | Chiropractor | 11 Depot St, Ellijay, GA 30540-3778 | 2018-05-09 |
| 1275030827 | Kirstin Ainsley Lyons | Chiropractor | 200 Industrial Blvd Ste 108, Ellijay, GA 30540-3721 | 2018-04-10 |
| 1881951382 | Family Life Chiropractic Center IIi | Chiropractor | 314 Northcutt Rd, Ellijay, GA 30540-1861 | 2012-04-20 |
| 1245531292 | John J. Hasper Jr. | Chiropractor | 871 Highway 52 E, Suite 1, Ellijay, GA 30540-3801 | 2010-11-08 |
| 1124128293 | Robert W Lee | Chiropractor | 9 Russell Dr, Suite 201, Ellijay, GA 30540-5573 | 2006-09-25 |
| 1689649121 | Jill Lorren Darling | Chiropractor | 11 Kiker St, Ellijay, GA 30540-3758 | 2006-02-20 |
| 1073008967 | Lyonspine Chiropractic LLC | Chiropractor | 200 Industrial Blvd Ste 108, Ellijay, GA 30540-3721 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1124627260 | Jordan Louis Mallamace | Chiropractor | 6110 Mcfarland Station Dr Unit 400, Alpharetta, GA 30004-6806 | 2020-10-20 |
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1871190363 | Rebel Medical Group LLC | Chiropractor | 2920 Marietta Hwy Ste 102, Canton, GA 30114-8207 | 2020-10-07 |
| 1285231902 | Austin Fortner | Chiropractor | 485 Pooler Pkwy, Pooler, GA 31322-5102 | 2020-10-06 |
| 1073129441 | Ian Michael Koll | Chiropractor | 6100 Lake Forrest Dr Ste 320, Atlanta, GA 30328-3835 | 2020-09-21 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1952915357 | Shaun Olsen | Chiropractor | 600 Houze Way Ste E1, Roswell, GA 30076-1434 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.