JACOB COLE LEE PA-C NPI 1104431485

NPI Information

  • NPI: 1104431485
  • Provider Name: JACOB COLE LEE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1325 E FORTIFICATION ST
    JACKSON, MS
    ZIP 39202
  • Phone: (601) 354-4488

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NPI Details

Jacob Cole Lee, PA-C is a physician assistant in Jackson, MS with 5 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Jacob Cole Lee, PA-C NPI is 1104431485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 E FORTIFICATION ST
JACKSON, MS
ZIP 39202-442
Phone: (601) 354-4488
Fax: (601) 351-5980

The NPI 1104431485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Cast supplies, short leg cast, adult (11 years +), fiberglass (HCPCS:Q4038)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
  • Cast supplies, short leg splint, adult (11 years +), fiberglass (HCPCS:Q4046)
  • Application of short leg splint from calf to foot (HCPCS:29515)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Application of nonmoveable forearm to hand splint (HCPCS:29125)
  • Cast supplies, short arm splint, adult (11 years +), fiberglass (HCPCS:Q4022)
  • Application of short leg cast (HCPCS:29405)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • X-ray of lower leg, 2 views (HCPCS:73590)

The enumeration date for this NPI number is 9/13/2020 and was last updated on 3/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q063672MEDICAIDTENNESSEE
200827741MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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