Jacob Lee, PA-C
NPI 1104431485 · Physician Assistant · Jackson, MS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104431485
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,853 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 388 | $69 |
| X-Ray of Foot, Minimum of 3 Views73630 | 370 | $25 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 278 | $95 |
| X-Ray of Ankle, Minimum of 3 Views73610 | 244 | $26 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 92 | $58 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 165 | 105 |
| Methylprednisolone | 108 | 105 |
| Gabapentin | 106 | 69 |
| Diclofenac Sodium | 60 | 40 |
| Tramadol Hcl | 53 | 49 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 29 | 27 |
| Ergocalciferol (vitamin D2)brand: Vitamin D2 | 28 | — |
Practice location
Mailing address
Additional practice locations (2)
- 7545 Airways BlvdSouthaven, MS 38671-5806Phone: (901) 759-3100
- 1400 S Germantown RdGermantown, TN 38138-2205Phone: (901) 759-3100
Registry dates
- Enumerated
- 2020-09-13
- Last updated
- 2025-03-13
- Certified
- 2025-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.