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LEE ATKINSON
NPI 1124488762
Dentist - Periodontics in Jacksonville, FL

Active since February 24, 2016Opted out of Medicare · through May 14, 2028
554 KELLY STREET, BUREAU OF MEDICINE AND SURGERY, JACKSONVILLE, FL 32212(760) 719-4747 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lee Atkinson NPPES

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

LEE ATKINSON (NPI 1124488762) is an individual periodontics provider in Jacksonville, Florida, licensed in Illinois (019.030160) and active in the NPI registry since February 2016. He has opted out of Medicare through May 14, 2028.

NPPES Registry Identity

NPI1124488762
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameLEE ATKINSON
Location Address554 KELLY STREET, BUREAU OF MEDICINE AND SURGERYJacksonville, FL 32212
Mailing Address554 Kelly Street, Bureau Of Medicine And SurgeryJacksonville, FL 32212
Phone(760) 719-4747
Sole ProprietorNo
Enumeration DateFebruary 24, 2016
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1124488762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 019.030160
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 019.030160 (IL)
554 KELLY STREET, Jacksonville, FL 32212
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lee Atkinson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 14, 2024 through May 14, 2028.

Opt-Out Effective DateMay 14, 2024
Opt-Out In Effect ThroughMay 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. CHRISTOPHER D HELMAN D.O.
Emergency Medicine
554 KELLY STREET, BUREAU OF MEDICINE AND SURGERY, CENTRALIZED CREDENTIAL
JACKSONVILLE, FL 32212
Duval County (757) 953-7550

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 Lee Atkinson's NPI number?

The NPI number for Lee Atkinson is 1124488762. It was assigned to this individual provider in the NPPES registry on February 24, 2016.

Where is Lee Atkinson located?

Lee Atkinson practices at 554 Kelly Street Bureau Of Medicine And Surgery, Jacksonville, FL 32212. The listed phone number is (760) 719-4747.

What is Lee Atkinson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Lee Atkinson enrolled in Medicare?

No. Lee Atkinson has opted out of Medicare through May 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lee Atkinson was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.