Individual provider Active NPI

Tami Atkins Lee, PA-C

  • Physician Assistant
  • Roxboro, NC
National Provider Identifier
1982665808
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104164 Issued in NC
Practice address
107 Weeks Dr
Roxboro, NC 27573-3933
Phone
(336) 598-5480
Fax
(336) 598-5482
NPI assigned
Mar 30, 2006
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 104164 NC Primary

Addresses

Primary practice location

107 Weeks Dr
Roxboro, NC 27573-3933

Mailing address

107 Weeks Dr
Roxboro, NC 27573-3933
Phone (336) 598-5480

Other identifiers 1

IdentifierTypeStateIssuer
891005RMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050124000089 NC Practitioner - Physician Assistant 8820048341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

107 Weeks Dr
Roxboro, NC 27573-3929
Phone (336) 598-5480

609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
104164NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roxboro Medaccess Primary Care Past Accepting new patients
Raleigh Durham Medical Group PA PastSince Jul 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tami.lee.1@1905.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1982665808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEEKS DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275733933",
            "telephone_number": "336-598-5480",
            "fax_number": "336-598-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEEKS DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275733933",
            "telephone_number": "336-598-5480",
            "fax_number": "336-598-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TAMI",
        "middle_name": "ATKINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891005R",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.