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PAMELA NICOLE DALLAS
NPI 1770247066
Nurse Practitioner - Family in Ellenwood, GA

Active since October 24, 2021PECOS Enrolled
3462 ASHFORD LOOP, ELLENWOOD, GA 30294(770) 364-2666 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 7, 2023, Oct 24, 2021 (2 updates tracked since 2021).

About Pamela Nicole Dallas NPPES

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

PAMELA NICOLE DALLAS (NPI 1770247066) is an individual family provider in Ellenwood, Georgia, licensed in Georgia (RN242295) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770247066
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA NICOLE DALLAS
Location Address3462 ASHFORD LOOPEllenwood, GA 30294-3674
Mailing Address3462 Ashford LoopEllenwood, GA 30294-3674
Phone(770) 364-2666
Sole ProprietorYes
Enumeration DateOctober 24, 2021
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1770247066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN242295
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License RN242295 (GA)
3462 ASHFORD LOOP, Ellenwood, GA 30294
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Nicole Dallas 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 Pamela Dallas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Medical Care Corporation
11 mi
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 clinicians in this Medicare group
NPI 1912956046 (404) 658-9840

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 30294 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.

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 Pamela Dallas's NPI number?

The NPI number for Pamela Dallas is 1770247066. It was assigned to this individual provider in the NPPES registry on October 24, 2021.

Where is Pamela Dallas located?

Pamela Dallas practices at 3462 Ashford Loop, Ellenwood, GA 30294. The listed phone number is (770) 364-2666.

What is Pamela Dallas's specialty?

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

Is Pamela Dallas enrolled in Medicare?

Yes. Pamela Dallas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Dallas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Dallas reassigns Medicare benefits to Piedmont Medical Care Corporation (Atlanta, GA). 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 Pamela Dallas'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 Pamela Dallas was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.