MR. TIMOTHY K LEE
NPI 1366006900
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 29, 2019PECOS Enrolled
1364 CLIFTON RD NE RM B206, ATLANTA, GA 30322(312) 942-7100 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2021, Apr 29, 2019 (2 updates tracked since 2019).

About Mr. Timothy K Lee NPPES

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

MR. TIMOTHY K LEE (NPI 1366006900) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366006900
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TIMOTHY K LEE
Location Address1364 CLIFTON RD NE RM B206Atlanta, GA 30322-1059
Mailing Address1364 Clifton Rd Ne Rm B206Atlanta, GA 30322-1059
Sole ProprietorYes
Enumeration DateApril 29, 2019
Last NPPES UpdateApril 8, 20212 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
NPI 1366006900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1364 CLIFTON RD NE RM B206, Atlanta, GA 30322

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Timothy K Lee 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 5

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

Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE RM B206
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE RM B206
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE RM B206
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE RM B206
ATLANTA, GA 30322
Student in an Organized Health Care Education/Training Program
1364 CLIFTON RD NE RM B206
ATLANTA, GA 30322

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 Timothy Lee's NPI number?

The NPI number for Timothy Lee is 1366006900. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Timothy Lee located?

Timothy Lee practices at 1364 Clifton Rd NE Rm B206, Atlanta, GA 30322. The listed phone number is (312) 942-7100.

What is Timothy 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 Timothy Lee enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Lee was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.