MRS. LISA M SMITH (NPI# 1114916475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114916475 |
| Entity Type | Individual |
| Full Name | MRS. LISA M SMITH |
| Credential | PAC |
| Practice Address |
107 Main St Plains GA 31780-5570 |
| Mailing Address |
Po Box 196 Plains GA 31780-0196 |
| Practice Telephone | 2298247757 |
| Practice Fax Number | 2298243497 |
| Mailing Telephone | 2298243438 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002904 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 002904 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1710590757 | Lisa M Smith | Occupational Therapy Assistant | 920 Westacre Rd, West Sacramento, CA 95691-3224 | 2020-08-28 |
| 1013531060 | Lisa Marie Smith | Student in an Organized Health Care Education/Training Program | 1465 County Road 232, Collinsville, TX 76233 | 2020-06-05 |
| 1699300350 | Lisa Kathryn Smith | Registered Nurse | 7913 Lakeview Dr, Denver, NC 28037-9265 | 2020-03-03 |
| 1821637778 | Lisa Ann Smith | Dietitian, Registered | 522 10th St, Aplington, IA 50604-1073 | 2019-12-24 |
| 1700421450 | Lisa Marie Smith | Nurse Practitioner | 4353 Heyward St, North Port, FL 34291-4561 | 2019-11-16 |
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1649753120 | Lisa Lynn Smith | Occupational Therapist | 355 Dogwood South Ln, Haughton, LA 71037-8511 | 2018-09-11 |
| 1083193270 | Lisa Smith | Occupational Therapist | 243 Raspberry Rd, Leola, PA 17540-2215 | 2018-08-09 |
| Street Address |
107 MAIN ST |
| City | PLAINS |
| State | GA |
| Zip Code | 31780-5570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144407917 | Patricia Barrett Fennessy | Obstetrics & Gynecology | 107 Main St, Plains, GA 31780 | 2008-01-23 |
| 1184634420 | Betty Jo Songer | Nurse Practitioner | 107 Main St, Plains, GA 31780 | 2006-08-09 |
| 1558352062 | Neelima Puppala | Internal Medicine | 107 Main St, Plains, GA 31780-5570 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749847 | Clinic Drug Store, Inc. | Pharmacy | 103 Main St, Plains, GA 31780 | 2017-09-13 |
| 1457494007 | Clinic Drug Store | Pharmacy | 103 Main St, Plains, GA 31780-0160 | 2007-02-14 |
| 1326208067 | Ceretta Dawn Sheppard | Marriage & Family Therapist | 105 Brenda Pickett Cir, Plains, GA 31780-0273 | 2008-06-16 |
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1659853588 | Shanika Price | Contractor | 1283a Salters Mill Rd, Plains, GA 31780-5318 | 2018-09-06 |
| 1801833231 | Lillian G. Carter Nursing Center LLC | Skilled Nursing Facility | 225 Hospital St, Plains, GA 31780-5544 | 2006-06-02 |
| 1003943747 | Lillian G. Carter Nursing Center LLC | Respite Care | 225 Hospital St, Plains, GA 31780-5544 | 2007-02-28 |
| 1912034745 | Lillian G. Carter Nursing Center LLC | Clinic/Center | 225 Hospital St, Plains, GA 31780-5544 | 2007-02-28 |
| 1225046998 | Careconnect Health, Inc | Clinic/Center | 107 Main Street, Plains, GA 31780-5570 | 2006-08-04 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184942831 | Rita Cross | Physician Assistant | 71 Abbott St, Plains, PA 18705-1905 | 2010-05-05 |
| 1174575229 | Heather Renae Paduck | Physician Assistant | 672 North River Street, Suite 110, Plains, PA 18705-1033 | 2006-05-17 |
| 1194065342 | Eileen M Campetti | Physician Assistant | 670 N River St, Suite 201, Plains, PA 18705-1027 | 2013-02-26 |
| 1629151501 | Mark A Lacey | Physician Assistant | 672 N River St, Suite 110, Plains, PA 18705-1014 | 2006-10-23 |
| 1851474746 | Elaine M Lacey | Physician Assistant | 667 S River St, Plains, PA 18705 | 2006-10-23 |
| 1568456754 | Jennifer Repshis | Physician Assistant | 220 S River St, Plains, PA 18705-1137 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. LISA M SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.