Individual provider Active NPI

Pamela Williams Lindsey, NP-C

  • Family Nurse Practitioner
  • Dudley, GA
National Provider Identifier
1366800559
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183333 Issued in GA
Practice address
1150 Field St
Dudley, GA 31022
Phone
(478) 290-1090
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 RN183333 GA Primary

Addresses

Primary practice location

1150 Field St
Dudley, GA 31022

Mailing address

1150 Field St
Dudley, GA 31022-2123
Phone (478) 290-1090

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
I20171109001813 GA Practitioner - Nurse Practitioner 6800152729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1825 Hwy 34 E
Suite 1200
Newnan, GA 30265-6416

8777 Velocity Dr
Machesney Park, IL 61115-8002

PO Box
Suite 449
Vidalia, GA 30475

PO Box
Suite 449
Vidalia, GA 30475-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN183333GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Sep 18, 2024 Accepting new patients
Accordia Healthcare LLC CurrentSince May 15, 2023 Accepting new patients

Locations

2201 Veterans Blvd
Dublin, GA 31021
Phone (478) 205-5312

1301 Statesboro Place Cir
Ste 1582
Statesboro, GA 30458

3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588

1205 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 302-5729

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, 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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1366800559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 FIELD ST",
            "city": "DUDLEY",
            "state": "GA",
            "postal_code": "310222123",
            "telephone_number": "478-290-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FIELD ST",
            "city": "DUDLEY",
            "state": "GA",
            "postal_code": "31022",
            "telephone_number": "478-290-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "PAMELA",
        "middle_name": "WILLIAMS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN183333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dudley, GA

Sources for this page

Verify at the official NPI Registry.