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DR. JA EUN LEE D.D.S
NPI 1386930394
Dentist - General Practice in Clarksville, TN

Active since June 28, 2011PECOS Enrolled
1777 MADISON ST, CLARKSVILLE, TN 37043(931) 202-9151 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ja Eun Lee D.d.s NPPES

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

DR. JA EUN LEE D.D.S (NPI 1386930394) is an individual general practice provider in Clarksville, Tennessee, licensed in Tennessee (0000011751) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brunswick.

NPPES Registry Identity

NPI1386930394
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JA EUN LEECredential: D.D.S
Location Address1777 MADISON STClarksville, TN 37043-4909
Mailing Address1777 Madison StClarksville, TN 37043-4909 · (931) 202-9151
Phone(931) 202-9151
Sole ProprietorNo
Enumeration DateJune 28, 2011
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1386930394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 0000011751
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 6737-015 (WI), DN014745 (GA)
1777 MADISON ST, Clarksville, TN 37043
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Other Names 1

Other Name (5)Dr. Jaja Lee D.d.s

Secondary Practice Location 1

Location 1114 Altama ConnectorBrunswick, GA 31525-1891 · Phone (912) 262-6688 · Fax (912) 264-2409

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ja Eun Lee D.d.s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37043 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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

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

JULIA AZIZ DDS
Dentist
1777 MADISON ST
CLARKSVILLE, TN 37043
Montgomery County (931) 202-9151

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 Ja Eun Lee's NPI number?

The NPI number for Ja Eun Lee is 1386930394. It was assigned to this individual provider in the NPPES registry on June 28, 2011. The provider is also known as Dr. Jaja Lee D.D.S.

Where is Ja Eun Lee located?

Ja Eun Lee practices at 1777 Madison St, Clarksville, TN 37043. The listed phone number is (931) 202-9151.

What is Ja Eun Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ja Eun Lee enrolled in Medicare?

Yes. Ja Eun Lee is registered in the Medicare PECOS enrollment system.

What insurance does Ja Eun Lee accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 16 other insurers list Ja Eun Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ja Eun Lee was last updated on March 14, 2024. 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.