Active NPI
Tami Atkins Lee, PA-C
- Physician Assistant
- Roxboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 104164
- 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, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891005R | Medicaid | NC |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104164 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roxboro Medaccess Primary Care | Past | Accepting new patients | |
| Raleigh Durham Medical Group PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1053503763
-
- Family Medicine Physician
- Cary, NC
- NPI 1295784874
-
- Primary Care Clinic/Center
- Roxboro, NC
- NPI 1154559581
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Roxboro, NC
- NPI 1982963294
-
dba Person Memorial Hospital
- General Acute Care Hospital
- Roxboro, NC
- NPI 1881977593
-
dba Duke Home Health
- Home Health Agency
- Durham, NC
- NPI 1407898315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.