Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174904361

Jonathan Lee is a Family Practice in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2015, 11 years ago. Practices with Medical Systems Management, LLC, a 49-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
11
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T-2979 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174904361
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESOctober 26, 2015
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Medical Systems Management, Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson