Individual provider Active NPI

Pamela Allison Hughes, DO

  • Family Medicine Physician
  • Lake George, CO
National Provider Identifier
1306835467
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0070832 Issued in CO
Practice address
37081 County Road 77
Lake George, CO 80827-9408
Phone
(307) 899-7991
Fax
(703) 828-0257
NPI assigned
Oct 20, 2005
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14507A WY
Family Medicine Physician 207Q00000X MED-PHYS-LIC-104426 MT
Family Medicine Physician 207Q00000X 330345 NY
Family Medicine Physician 207Q00000X 0102205909 VA
Family Medicine Physician 207Q00000X 0070832 CO Primary

Addresses

Primary practice location

37081 County Road 77
Lake George, CO 80827-9408

Mailing address

37081 County Road 77
Lake George, CO 80827-9408
Phone (307) 899-7991

Other practice location 1

102 S Union St
Alexandria, VA 22314-3324
Phone (307) 899-7991

Other practice location 2

6424 Alexandra Louise Dr Ste 120
Orlando, FL 32827-5812
Phone (407) 499-8511

Other identifiers 5

IdentifierTypeStateIssuer
0070832OtherCOCOLORADO LICENSE
0102205909OtherVAVIRGINIA LICENSE
330345OtherNYNEW YORK LICENSE
104426OtherMTMONTANA LICENSE
14507AOtherWYWYOMING LICENSE

Other names 1

  • Dr. Pamela Allison Hughes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 5, 2017 through Jan 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
330345NYMDLicensed Practical Nurse
0070832COMDFamily Medicine Physician
MED-PHYS-LIC-104426MTMDFamily Medicine Physician
0102205909VAMDFamily Medicine Physician
14507AWYMDFamily Medicine Physician
2001TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Emergency Physicians, PLLC PastSince Feb 9, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1306835467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37081 COUNTY ROAD 77",
            "city": "LAKE GEORGE",
            "state": "CO",
            "postal_code": "808279408",
            "telephone_number": "307-899-7991",
            "fax_number": "703-828-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37081 COUNTY ROAD 77",
            "city": "LAKE GEORGE",
            "state": "CO",
            "postal_code": "808279408",
            "telephone_number": "307-899-7991",
            "fax_number": "703-828-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Union St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143324",
            "country_code": "US",
            "telephone_number": "307-899-7991",
            "fax_number": "703-828-0257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6424 Alexandra Louise Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328275812",
            "country_code": "US",
            "telephone_number": "407-499-8511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "PAMELA",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "14507A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-104426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "330345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205909",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0070832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "0070832",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA LICENSE",
            "identifier": "0102205909",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK LICENSE",
            "identifier": "330345",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA LICENSE",
            "identifier": "104426",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING LICENSE",
            "identifier": "14507A",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HUGHES",
            "middle_name": "ALLISON",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake George, CO

Sources for this page

Verify at the official NPI Registry.