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Deactivated NPI 1700541976 Deactivated / Inactive NPI Female Practitioner

Lydia Anne Lee

Licensed Practical Nurse • Savannah, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lydia Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2021
NPI Deactivation Date April 16, 2026
Total Practice Duration ~5 Years of Practice (2021 – 2026)

Professional Overview & Biography Verified Profile Summary

Lydia Lee was a registered Licensed Practical Nurse practicing in Savannah, GA. Throughout an active medical career spanning 5 years, Lydia Lee provided care at the practice location at 107B FAHM ST until profile deactivation on 2026-04-16.

Practice Location & Contact Primary Location

Practice Address

107b Fahm St

Savannah, GA 314012391

Telephone 9126512253
Fax 9126512366

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Savannah, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Savannah, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN053545

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Shirley Williams , LPN

Licensed Practical Nurse

NPI 1073916227

Licensed Practical Nurse

Jessica Small

Licensed Practical Nurse

NPI 1184027807
Dr. Gillian Greer , MD

Family Medicine

NPI 1205246485

Doctor of Medicine (M.D.)

Victoria Worden , FNP

Nurse Practitioner - Family

NPI 1346222791

Family Nurse Practitioner

Beverly Weaver

Registered Nurse

NPI 1356748032
Stephanie Bell

Nurse Practitioner - Family

NPI 1427504364

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 16, 2026

Record deactivated on April 16, 2026

NPI Profile Active November 03, 2021

NPI status registered as active in NPPES database

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Updated Practice Location November 03, 2021

Registered at 107B FAHM ST, SAVANNAH, GA 314012391 (Tel: 9126512253)

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Updated Business Mailing Address November 03, 2021

Registered at 701 PENN WALLER RD APT H1, SAVANNAH, GA 314103143 (Tel: 9125969350)

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Provider Name / Credentials Updated November 03, 2021

Recorded as LYDIA LEE

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2021

Licensed Practical Nurse (License #LPN053545 in GA)

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Initial NPI Registration & Enumeration November 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700541976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2021
Last Update: November 03, 2021
Deactivation Date: April 16, 2026

Mailing Address

701 Penn Waller Rd Apt H1

Savannah, GA 314103143

Phone: 9125969350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.