MRS. LISA MACOY (NPI# 1538326707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538326707 |
| Entity Type | Individual |
| Full Name | MRS. LISA MACOY |
| Credential | NP |
| Practice Address |
4000 Shakerag Hl Suite 201 Peachtree City GA 30269-4047 |
| Practice Telephone | 7704867111 |
| Practice Fax Number | 7704867131 |
| Mailing Telephone | 7704867111 |
| Mailing Fax Number | 7704867131 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN134284 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 668569165F | 05 |
| Street Address |
4000 SHAKERAG HL SUITE 201 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407819204 | Lisa M. Mcmath | Specialist | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2006-04-11 |
| 1578926374 | Rebecca Geller | Nurse Practitioner | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2016-03-30 |
| 1902281132 | Jeffrey Lance | Nurse Practitioner | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 2015-07-29 |
| 1376952234 | Allergy Sinus and Cough Center of Georgia, Inc | Pediatrics | 4000 Shakerag Hl, Suite 300, Peachtree City, GA 30269-4047 | 2014-08-05 |
| 1689002941 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 4000 Shakerag Hl, Suite 100, Peachtree City, GA 30269-4047 | 2013-10-24 |
| 1104136514 | Drayer Physical Therapy Institute of Ky Pllc | Physical Therapist | 4000 Shakerag Hl, Ste 100, Peachtree City, GA 30269-4047 | 2010-10-19 |
| 1376858555 | Renee S King | Nurse Practitioner | 4000 Shakerag Hl, 301, Peachtree City, GA 30269-4047 | 2010-08-12 |
| 1457665234 | Newnan Lung and Sleep Specialists, P.C. | Internal Medicine | 4000 Shakerag Hl, Suite 302, Peachtree City, GA 30269-4047 | 2010-08-04 |
| 1912211129 | Piedmont Medical Care Corporation | Nurse Practitioner | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 2010-07-29 |
| 1326373820 | Jacquelyn Nicole Mcdowell | Nurse Practitioner | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096279 | Traci C Boullion | Nurse Practitioner | 127 Santolina Park, Peachtree City, GA 30269-3245 | 2020-03-03 |
| 1841764586 | Samone Ighofose | Nurse Practitioner | 1201 Georgian Park, Peachtree City, GA 30269-6972 | 2019-01-16 |
| 1821344847 | Erica Marie Kennedy | Nurse Practitioner | 4000 Shakerag Hill, Ste 204, Peachtree City, GA 30269-4047 | 2012-07-27 |
| 1376858555 | Renee S King | Nurse Practitioner | 4000 Shakerag Hl, 301, Peachtree City, GA 30269-4047 | 2010-08-12 |
| 1912211129 | Piedmont Medical Care Corporation | Nurse Practitioner | 4000 Shakerag Hl, Suite 301, Peachtree City, GA 30269-4047 | 2010-07-29 |
| 1972667517 | Teresa Kay Lane | Nurse Practitioner | 12 Eastbrook Bnd, Peachtree City, GA 30269-1530 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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| 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.