Individual provider Active NPI

Grace Caryn Prince Lee, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1225994460
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN321617 Issued in GA
Practice address
330 Peachtree St
Jesup, GA 31545-0246
Phone
(912) 415-8552
Fax
(888) 440-6945
NPI assigned
Dec 31, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 RN321617 GA Primary

Addresses

Primary practice location

330 Peachtree St
Jesup, GA 31545-0246

Mailing address

330 Peachtree St
Jesup, GA 31545-0246
Phone (912) 415-8552

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
I20260617003009 GA Practitioner - Nurse Practitioner 4082186341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Family Medicine, LLC.Group PAC ID 4183151582, 3 clinicians

Practice addresses (Care Compare)

330 Peachtree St
Jesup, GA 31545-0246
Phone (912) 415-8552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN321617GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Family Medicine, LLC. Current Accepting new patients

Locations

330 Peachtree St
Jesup, GA 31545
Phone (912) 415-8552

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJHGDD/Endpoint/IJHGDD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1225994460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450246",
            "telephone_number": "912-415-8552",
            "fax_number": "888-440-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450246",
            "telephone_number": "912-415-8552",
            "fax_number": "888-440-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRACE",
        "middle_name": "CARYN PRINCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN321617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.