Lee Williams Braxton, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN278035 Issued in GA

Practice address

1301 Peterson Ave S
Suite B
Douglas, GA 31533

Phone

(912) 383-6966

NPI assigned

Sep 26, 2022

Last updated

Jun 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Coffee Regional Medical Center, Inc

  dba Coffee Regional First Care

  • Rural Health Clinic/Center
  • Douglas, GA
  • NPI 1639211956
  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1932822772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WESTWOOD HEIGHTS COURT",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31535",
            "telephone_number": "912-381-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PETERSON AVE S",
            "address_2": "SUITE B",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-383-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "LEE",
        "middle_name": "WILLIAMS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN278035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Booth, PTA
• Brad Mobley (mobleys pharmacy)
• Jamie Braddy, D.C.
• Emily Bradshaw, M.ED CCC-SLP
• Margaret Lucinda Brantley, ATC
• Angela Marie Brewer, FNP-C
• Alexander S Bridwell, D.C.
• Hallie S. Brigmond, PA-C
• Jessilee Gabrielle Brooker, DMD
• Justin Brown, PHARMACIST

• Nurse Practitioner in Douglas, GA
• Providers in Douglas, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.