Pamela Nicole Dallas
NPI 1770247066ActiveIndividual· Nurse Practitioner, Family· Ellenwood, GA
Nurse Practitioner, Family in Ellenwood, Georgia, licensed in GA, with an NPI issued in October 2021. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1770247066 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 24, 2021 |
| Last updated in NPPES | Aug 7, 2023 |
| Certified by provider | Aug 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN242295 | GA |
| Registered Nurse, Maternal Newborn | 163WM0102X | RN242295 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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