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LEE PENNINGTON MCNICHOLS NP
NPI 1376034983
Family Medicine - Adult Medicine in Alpharetta, GA

Active since May 21, 2018PECOS Enrolled
12460 CRABAPPLE RD., SUITE 202- 313, ALPHARETTA, GA 30004(770) 727-1167(404) 819-7660 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 19, 2022, Mar 24, 2020, Aug 3, 2018 and 1 more (4 updates tracked since 2018).

About Lee Pennington Mcnichols Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE PENNINGTON MCNICHOLS NP (NPI 1376034983) is an individual adult medicine provider in Alpharetta, Georgia, licensed in Georgia (RN129155) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376034983
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameLEE PENNINGTON MCNICHOLSCredential: NP
Location Address12460 CRABAPPLE RD., SUITE 202- 313Alpharetta, GA 30004-6646
Mailing Address12460 Crabapple Rd.,, Suite 202-313Alpharetta, GA 30004-6646 · (770) 727-1167 · Fax (404) 393-7788
Phone(770) 727-1167
Fax(404) 819-7660
Sole ProprietorNo
Enumeration DateMay 21, 2018
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1376034983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · RN129155
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
12460 CRABAPPLE RD., Alpharetta, GA 30004
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Other Names 1

Former Name (1)Lee Pennington Staten Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Pennington Mcnichols Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lee Mcnichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ridgeland Medical Clinic
353 mi
Family Medicine
587 HIGHWAY 51 STE T
Ridgeland, MS 39157
  • Reassigned Medicare billing, Georgia enrollment
NPI 1053917849 (601) 790-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.74 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$4.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Mcnichols's NPI number?

The NPI number for Lee Mcnichols is 1376034983. It was assigned to this individual provider in the NPPES registry on May 21, 2018. The provider is also known as Lee Pennington Staten Np.

Where is Lee Mcnichols located?

Lee Mcnichols practices at 12460 Crabapple Rd. Suite 202- 313, Alpharetta, GA 30004. The listed phone number is (770) 727-1167.

What is Lee Mcnichols's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Lee Mcnichols enrolled in Medicare?

Yes. Lee Mcnichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Mcnichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Mcnichols reassigns Medicare benefits to Ridgeland Medical Clinic (Ridgeland, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lee Mcnichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lee Mcnichols was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.