Individual provider Active NPI

Lee M Hughes, NP

  • Family Nurse Practitioner
  • Montezuma, GA
National Provider Identifier
1710390109
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN225465 Issued in GA
Practice address
502 Sumter St
Montezuma, GA 31063-1734
Phone
(478) 472-8178
Fax
(478) 472-3289
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN225465 GA
Family Nurse Practitioner 363LF0000X RN225465 GA Primary

Addresses

Primary practice location

502 Sumter St
Montezuma, GA 31063-1734

Mailing address

509 Sumter St Ofc
Montezuma, GA 31063-1733
Phone (478) 472-3154

Other practice location 1

2900 Chamblee Tucker Rd Bldg 16
Atlanta, GA 30341-4148
Phone (770) 939-1288

Other practice location 2

512 Sumter St
Montezuma, GA 31063-1758
Phone (229) 591-9251

Other practice location 3

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3100

Other names 1

  • Lee M Hughes Professional name

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
I20190730001865 GA Practitioner - Nurse Practitioner 3577780527 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN225465GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Convenient Care Current Accepting new patients
Premier Healthcare Investments CurrentSince Jun 8, 2019 Accepting new patients
United Psychology Center, LLC CurrentSince Dec 24, 2019 Accepting new patients
Premier Healthcare Investments CurrentSince Jun 8, 2019 Accepting new patients

Locations

2900 Chamblee Tucker Rd
Bldg 16
Chamblee, GA 30341
Phone (770) 939-1288

512 Sumter St
Montezuma, GA 31063
Phone (229) 591-9251

509 Sumter St
Ofc
Montezuma, GA 31063

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Flint River Community HospitalMontezuma, GA, CCN 110190 Hospital Corporate Officer (100%)
W-2 Managing Employee (100%)
Jul 20, 2022
Jul 20, 2022
Flint River Community HospitalMontezuma, GA, CCN 11S190 Hospital Corporate Officer (100%)
W-2 Managing Employee (100%)
Jul 20, 2022
Jul 20, 2022
Flint River HospitalMontezuma, GA, CCN 113431 Rural health clinic Corporate Officer (100%)
W-2 Managing Employee (100%)
Jul 20, 2022
Jul 20, 2022

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1710390109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST OFC",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3154",
            "fax_number": "478-472-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631734",
            "telephone_number": "478-472-8178",
            "fax_number": "478-472-3289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Chamblee Tucker Rd Bldg 16",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303414148",
            "country_code": "US",
            "telephone_number": "770-939-1288",
            "fax_number": "770-212-2203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Sumter St",
            "address_purpose": "LOCATION",
            "city": "Montezuma",
            "state": "GA",
            "postal_code": "310631758",
            "country_code": "US",
            "telephone_number": "229-591-9251",
            "fax_number": "478-333-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Sumter St",
            "address_purpose": "LOCATION",
            "city": "Montezuma",
            "state": "GA",
            "postal_code": "310631733",
            "country_code": "US",
            "telephone_number": "478-472-3100",
            "fax_number": "478-472-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "LEE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN225465",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "HUGHES",
            "middle_name": "M",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

Verify at the official NPI Registry.