Individual provider Active NPI

Laura Nichole Lee, FNP-C

  • Family Nurse Practitioner
  • Cairo, GA
National Provider Identifier
1053309526
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN154448 Issued in GA
Practice address
980 4TH St SE
Cairo, GA 39828-3064
Phone
(229) 377-2002
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN154448 GA Primary

Addresses

Primary practice location

980 4TH St SE
Cairo, GA 39828-3064

Mailing address

1051 Boxwood Dr
Bainbridge, GA 39819-5102
Phone (229) 246-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828001083 GA Practitioner - Nurse Practitioner 0345599197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cairo Medical Care, LLCGroup PAC ID 7618067042, 8 clinicians

Practice addresses (Care Compare)

1178 5TH St SE
Cairo, GA 39828-3141
Phone (229) 377-2002

Hospital & facility affiliations

  • Grady General Hospital Hospital, Cairo, GA, CCN 110121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cairo Medical Care, LLC CurrentSince Jul 9, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1178 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

Interoperability endpoints

  • Direct secure messaging: laura.lee@cmcl.eclinicaldirectplus.com
  • Direct secure messaging: nichole.lee@cairomedicalcare.gadirect.net
  • Direct secure messaging: nicole.lee@cairomedicalcare.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053309526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BOXWOOD DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398195102",
            "telephone_number": "229-246-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 4TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283064",
            "telephone_number": "229-377-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAURA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.