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Deactivated NPI 1124128293 Deactivated / Inactive NPI Male Practitioner

Dr. Robert W Lee , DC

Chiropractor • Ellijay, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date June 11, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Lee, DC was a registered Chiropractor practicing in Ellijay, GA. Throughout an active medical career spanning 12 years, Dr. Lee provided care at the practice location at 9 RUSSELL DR until profile deactivation on 2018-06-11.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

9 Russell Dr
Suite 201

Ellijay, GA 305405573

Telephone 7066989679
Fax 7066989678
Associated Practice Facility / Clinic
🏢 Georgia Oxygen Pharmacy Facility NPI 1497870539

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Ellijay, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Ellijay, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
31.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
417 47 $40.00 $27.36

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA CHIRO05113

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor - Rehabilitation

NUCC Taxonomy Code: 111NR0400X

State License GA CHIRO05113

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
202G700756 (GA)
Commercial Insurance / Payer ID License
CHIRO05113 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
James Connell , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043192008

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 18, 2018

Registered at 9 RUSSELL DR, SUITE 201, ELLIJAY, GA 305405573 (Tel: 7066989679)

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Updated Business Mailing Address June 18, 2018

Registered at 9 RUSSELL DR, SUITE 201, ELLIJAY, GA 305405573 (Tel: 7066989679)

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Provider Name / Credentials Updated June 18, 2018

Recorded as ROBERT LEE, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2018

Chiropractor (License #CHIRO05113 in GA)

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NPI Profile Deactivated June 11, 2018

Record deactivated on June 11, 2018

NPI Profile Active June 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2012

Registered at 9 RUSSELL DR, SUITE 201, ELLIJAY, GA 305405573 (Tel: 7066989679)

📍
Updated Business Mailing Address June 06, 2012

Registered at 9 RUSSELL DR, SUITE 201, ELLIJAY, GA 305405573 (Tel: 7066989679)

👤
Provider Name / Credentials Updated June 06, 2012

Recorded as ROBERT LEE, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2012

Chiropractor (License #CHIRO05113 in GA)

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Initial NPI Registration & Enumeration September 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124128293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: June 18, 2018
Deactivation Date: June 11, 2018
Sole Proprietor: Yes

Mailing Address

9 Russell Dr, Suite 201

Ellijay, GA 305405573

Phone: 7066989679

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.