JASON HARRISS LEE
NPI 1578632964
Dentist - General Practice in Martinez, GA

Active since November 07, 2006Opted out of Medicare · through Aug 14, 2027
116 DAVIS RD, MARTINEZ, GA 30907(706) 691-2287 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Harriss Lee NPPES

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

JASON HARRISS LEE (NPI 1578632964) is an individual general practice provider in Martinez, Georgia, licensed in South Carolina (4265) and active in the NPI registry since November 2006. He has opted out of Medicare through August 14, 2027.

NPPES Registry Identity

NPI1578632964
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJASON HARRISS LEE
Location Address116 DAVIS RDMartinez, GA 30907-2384
Mailing Address116 Davis RdMartinez, GA 30907-2384 · (706) 691-2287
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 11, 2013
NPI 1578632964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in SC · 4265 Licensed in GA · DN013429
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.
116 DAVIS RD, Martinez, GA 30907

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jason Harriss Lee 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 August 14, 2015 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2015
Opt-Out In Effect ThroughAugust 14, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
116 DAVIS RD
MARTINEZ, GA 30907
Dentist (General Practice)
116 DAVIS RD
MARTINEZ, GA 30907

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 Jason Lee's NPI number?

The NPI number for Jason Lee is 1578632964. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Jason Lee located?

Jason Lee practices at 116 Davis Rd, Martinez, GA 30907. The listed phone number is (706) 691-2287.

What is Jason Lee's specialty?

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

Is Jason Lee enrolled in Medicare?

No. Jason Lee has opted out of Medicare through August 14, 2027. 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 Jason Lee was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.