Individual provider Active NPI

Pamela C. Lee, APRN, BC

  • Family Nurse Practitioner
  • Nicholls, GA
National Provider Identifier
1285677872
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN034673 Issued in GA
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

Updated by the provider on Aug 19, 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 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

IdentifierTypeStateIssuer
00441691CMedicaidGA

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
I20130611000796 GA Order and Referring Only - Nurse Practitioner 1850465808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034673GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bacon County Health Services, Inc. Family Past Accepting new patients
Bacon County Health Services, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.