LACEY HESTER CHILDREE NP
NPI 1649161480
Nurse Practitioner - Family in Tifton, GA

Active since July 10, 2025PECOS EnrolledAccepts Medicare Assignment
39 KENT RD STE 2, TIFTON, GA 31794(229) 353-4368 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lacey Hester Childree Np NPPES

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

LACEY HESTER CHILDREE NP (NPI 1649161480) is an individual family provider in Tifton, Georgia, licensed in Georgia (APRN-NP291799) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1649161480
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLACEY HESTER CHILDREECredential: NP
Location Address39 KENT RD STE 2Tifton, GA 31794-1697
Mailing Address47 Loganberry CirValdosta, GA 31602-2303 · (229) 237-8709
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 10, 2025
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
NPI 1649161480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP291799
39 KENT RD STE 2, Tifton, GA 31794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey Hester Childree Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820589401
PECOS Enrollment IDI20251111003250
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110095
Location901 E 18th StreetTifton, GA 31793 · Tift County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31794 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
39 KENT RD STE 2
TIFTON, GA 31794
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Otolaryngology
39 KENT RD STE 2
TIFTON, GA 31794
Nurse Practitioner
39 KENT RD STE 2
TIFTON, GA 31794

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 Lacey Childree's NPI number?

The NPI number for Lacey Childree is 1649161480. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Lacey Childree located?

Lacey Childree practices at 39 Kent Rd Ste 2, Tifton, GA 31794. The listed phone number is (229) 353-4368.

What is Lacey Childree's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacey Childree enrolled in Medicare?

Yes. Lacey Childree is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lacey Childree affiliated with any hospitals?

According to CMS data, Lacey Childree is affiliated with Tift Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lacey Childree was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.