Individual provider Active NPI

Angela Lee, RN

  • Registered Nurse
  • Suwanee, GA
National Provider Identifier
1548938988
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN244580 Issued in GA
Practice address
1035 Scales Rd Apt 5206
Suwanee, GA 30024-4591
Phone
(864) 378-6745
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN244580 GA Primary

Addresses

Primary practice location

1035 Scales Rd Apt 5206
Suwanee, GA 30024-4591

Mailing address

PO Box 1123
Abbeville, SC 29620-1123
Phone (864) 378-6745

Other identifiers 1

IdentifierTypeStateIssuer
RN244580MedicaidGA

Other names 1

  • Angie Lee Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nurseangie@compassmedicalresources.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN244580GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Medical Resources & Concierge CurrentSince Dec 5, 2021 Accepting new patients

Locations

3296 Summit Ridge Pkwy
Ste 920
Duluth, GA 30096
Phone (424) 535-4203

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1548938988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296201123",
            "telephone_number": "864-378-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SCALES RD APT 5206",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244591",
            "telephone_number": "864-378-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANGELA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN244580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN244580",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nurseangie@compassmedicalresources.com",
            "affiliation": "N",
            "endpointDescription": "Healthcare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3296 Summit Ridge Pkwy Ste 920",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300961625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "LEE",
            "credential": "ANGIE LEE, RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.