Kinzie Jean Lee, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN218996 Issued in GA

Practice address

1007 E 16TH Ave Ste a
Cordele, GA 31015-4553

Phone

(229) 273-1716

Fax

(229) 273-1720

NPI assigned

Mar 14, 2017

Reactivated

Dec 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1477094241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E 16TH AVE STE A",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154553",
            "telephone_number": "229-273-1716",
            "fax_number": "229-273-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 E 16TH AVE STE A",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154553",
            "telephone_number": "229-273-1716",
            "fax_number": "229-273-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KINZIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "deactivation_date": "2018-04-09",
        "reactivation_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN218996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred C Lapeza, CNS/PMH
• Harry S. Latham, M.D.
• Willie Lee Lattimore, N.P.
• Dale M Lawson, MD
• Ireti Lawson
• Marion O Lee Jr., MD
• Robert W Leitner, O.D.
• Limbcare Prosthetics & Orthotics of Georgia Inc
• Elizabeth Pate Lomax, PT, DPT
• Anne Jennifer Lombardi, MD

• Pediatric Nurse Practitioner in Cordele, GA
• Providers in Cordele, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.