Individual provider

Susan Lee, MD

Family Medicine Physician Medicare enrolled

Susan Lee, MD is a Family Medicine Physician in Rome, GA, registered under NPI 1063582039.

Getting there

The practice address on file is 28 JOHN DAVENPORT DR NW, Rome, GA 30165. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

28 JOHN DAVENPORT DR NW, Rome, GA 30165 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
40720 GA Family Medicine Physician primary
M7275 ID Family Medicine Physician

Licences are recorded in 2 states: GA, ID. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Family Practice
PAC ID
0547354235

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Idaho. The practice address on file is in Rome, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
40720
Specialty
Family Medicine Physician
Verify with the GA board →
ID Idaho
Licence
M7275
Specialty
Family Medicine Physician
Verify with the ID board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician 40720 GA primary
207Q00000X Family Medicine Physician M7275 ID

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063582039 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 8, 2006
Last updatedAug 17, 2015
StatusActive
Sole proprietorNo
CredentialMD
Practice address 28 JOHN DAVENPORT DR NW
Rome, GA 30165
(706) 232-1503
Fax (706) 235-3684
Mailing address 420 E 2ND AVE SUITE 103
Rome, GA 30161
Other identifiers 8051076000 (ID)
003146455F (GA)
This record was last updated on Aug 17, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063582039 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 5 8 2 0 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 1 8 4 0 6

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063582039?
NPI 1063582039 is the National Provider Identifier assigned to Susan Lee, MD in Rome, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Susan Lee, MD?
The phone number on file with NPPES is (706) 232-1503, last updated Aug 17, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Susan Lee, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063582039 a valid number?
Yes. 1063582039 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.