MIA H LEE CNP
NPI 1205621349
Nurse Practitioner in Sandy Springs, GA

Q: What is Mia Lee's NPI number?

The NPI number for Mia Lee is 1205621349. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Q: What is Mia Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mia Lee was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 10, 2025PECOS Enrolled

1000 JOHNSON FERRY RD, SANDY SPRINGS, GA 30342(404) 851-8000(404) 851-6325 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mia H Lee Cnp NPPES

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

MIA H LEE CNP (NPI 1205621349) is an individual nurse practitioner in Sandy Springs, Georgia, licensed in Georgia (APRN-NP270734) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2025).

NPPES Registry Identity

NPI1205621349

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMIA H LEECredential: CNP

Location Address1000 JOHNSON FERRY RDSandy Springs, GA 30342-1606

Mailing Address1000 Johnson Ferry RdSandy Springs, GA 30342-1606 · (404) 851-8000 · Fax (404) 851-6325

Phone(404) 851-8000

Fax(404) 851-6325

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2025

Enumeration DateApril 10, 2025

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1205621349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · APRN-NP270734

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1000 JOHNSON FERRY RD, Sandy Springs, GA 30342

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mia H Lee Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769949379

PECOS Enrollment IDI20260804001861

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.

Medicare Billing Reassignment

Medicare enrollment records show Mia Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Primary Care Professional Services,llc

Same address

Family Medicine

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
466 clinicians in this Medicare group

NPI 1922397553 (855) 709-4535

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SHELLEY S STATON PAAA

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (770) 645-9181

TYREL FOSTER MD

Nuclear Medicine

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-6323

KEVIN DAVIS

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

CAITLIN MARY YARDE

Nurse Practitioner (Family)

1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342

Fulton County (404) 851-6051

NICK TAHER M.D.

Hospitalist

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

NORTHSIDE RADIOLOGY ASSOCIATES LLC

Radiology (Diagnostic Radiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 662-2438

TAYEB AHMAD RAHIM

Radiology (Neuroradiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (678) 553-7784

CHRISTOPHER AGOSTI PA

Physician Assistant

1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342

Fulton County (404) 851-4000

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 Mia Lee's NPI number?

The NPI number for Mia Lee is 1205621349. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Mia Lee located?

Mia Lee practices at 1000 Johnson Ferry Rd, Sandy Springs, GA 30342. The listed phone number is (404) 851-8000.

What is Mia Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mia Lee enrolled in Medicare?

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

Which organization bills Medicare for Mia Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Lee reassigns Medicare benefits to Northside Primary Care Professional Services,llc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mia Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mia Lee was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.