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JOHNNY LEE DO
NPI 1053100776
Student in an Organized Health Care Education/Training Program in Lumberton, NC

Active since May 01, 2025PECOS Enrolled
395 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnny Lee Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY LEE DO (NPI 1053100776) is an individual student in an organized health care education/training program in Lumberton, North Carolina and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053100776
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHNNY LEECredential: DO
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address300 W 27th St # 28358Lumberton, NC 28358-3075
Phone(910) 671-5000
Sole ProprietorYes
Enumeration DateMay 1, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1053100776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
395 W 27TH ST, Lumberton, NC 28358
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Lee Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRADEEP GHIMIRE MD
General Practice
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
ZACHARY CARRIKER MD
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557
NAM HUYNH
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Lee's NPI number?

The NPI number for Johnny Lee is 1053100776. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Johnny Lee located?

Johnny Lee practices at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Johnny Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Johnny Lee enrolled in Medicare?

Yes. Johnny Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Lee was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.