Active NPI
Pamela C. Lee, APRN, BC
- Family Nurse Practitioner
- Nicholls, GA
National Provider Identifier
1285677872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN034673
- Practice address
- 1205 Van Streat Hwy
Nicholls, GA 31554-5025 - Phone
- (912) 345-2474
- Fax
- (912) 345-2473
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN034673 | GA | Primary |
Addresses
Primary practice location
1205 Van Streat Hwy
Nicholls, GA 31554-5025
Mailing address
1205 Van Streat Hwy
Nicholls, GA 31554-5025
Phone (912) 345-2474
Other practice location 1
204 E 15th St
Alma, GA 31510-2908
Phone (912) 632-2952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00441691C | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130611000796 | GA | Order and Referring Only - Nurse Practitioner | 1850465808 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034673 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bacon County Health Services, Inc. | Family | Past | Accepting new patients |
| Bacon County Health Services, Inc | Past | Accepting new patients |
Interoperability endpoints
- pamel.lee@bacon.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.
-
dba Bacon County Rural Health Clinic
- Rural Acute Care Hospital
- Alma, GA
- NPI 1821017831
-
dba Nicholls Family Healthcare
- Family Nurse Practitioner
- Nicholls, GA
- NPI 1558898882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1285677872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 VAN STREAT HWY",
"city": "NICHOLLS",
"state": "GA",
"postal_code": "315545025",
"telephone_number": "912-345-2474",
"fax_number": "912-345-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 VAN STREAT HWY",
"city": "NICHOLLS",
"state": "GA",
"postal_code": "315545025",
"telephone_number": "912-345-2474",
"fax_number": "912-345-2473"
}
],
"practiceLocations": [
{
"address_1": "204 E 15th St",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "GA",
"postal_code": "315102908",
"country_code": "US",
"telephone_number": "912-632-2952",
"fax_number": "912-632-8682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "PAMELA",
"middle_name": "C.",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN034673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00441691C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nicholls, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.