DR. LISA DOUGLAS (NPI# 1881686681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881686681 |
| Entity Type | Individual |
| Full Name | DR. LISA DOUGLAS |
| Credential | PHARM.D. |
| Practice Address |
977b Taylor St Sw Conyers GA 30012-5357 |
| Mailing Address |
3603 Shepherds Ln Loganville GA 30052-3059 |
| Practice Telephone | 7709186508 |
| Practice Fax Number | 7709186525 |
| Mailing Telephone | 7704667585 |
| Mailing Fax Number | 7709186525 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2012-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 016466 | GA | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
RPH016466 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280085 | Lisa Douglas | Counselor | 2060 Duck Rd, Summerville, PA 15864-6022 | 2020-06-19 |
| 1972943124 | Lisa Marie Douglas | Marriage & Family Therapist | 2002 Vanderbilt Ln Apt C, Redondo Beach, CA 90278-3062 | 2013-07-02 |
| 1770921447 | Lisa Marie Douglas | Specialist | 1421 N Washington St, Forrest City, AR 72335-2146 | 2013-06-04 |
| 1760842215 | Lisa Douglas | Occupational Therapist | 2535 Fort Amanda Rd, Lima, OH 45804-3728 | 2016-02-25 |
| 1376762914 | Lisa Douglas | Counselor | 7464 W Sahara Ave, Las Vegas, NV 89117-2740 | 2007-04-24 |
| 1639281959 | Lisa Renae Douglas | Genetic Counselor, MS | 12 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2006-08-31 |
| Street Address |
977B TAYLOR ST SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760929426 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 977b Taylor St Sw, Conyers, GA 30012-5357 | 2017-01-19 |
| 1144573437 | View Point Health-rockdale Center | Pharmacy | 977b Taylor St Sw, Conyers, GA 30012-5357 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881122679 | Nancy Bright | Pharmacist | 106 Dombey Rd, Savannah, GA 31410-4107 | 2017-05-24 |
| 1760475248 | Cherry Wyant Jackson | Pharmacist | 220 Bradley Point Rd, Savannah, GA 31410-3506 | 2005-08-30 |
| 1386641421 | Michael Wong Jann | Pharmacist | 2151 Peachford Rd, Atlanta, GA 30338-6534 | 2005-07-05 |
| 1346247806 | Beth M Hall | Pharmacist | 1352 Eisenhower Dr, Savannah, GA 31406-3902 | 2005-06-30 |
| 1437768827 | Ahyoung Cho | Pharmacist | 250 Scenic Hwy, Lawrenceville, GA 30046-5675 | 2020-07-30 |
| 1346786282 | Stephanie Phan | Pharmacist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2017-01-17 |
| 1710227079 | Ashlee Rickard Riggs | Pharmacist | 3421 Mike Padgett Hwy, Building A, Augusta, GA 30906-3815 | 2013-02-25 |
| 1457678419 | Karla Elizabeth Lanier | Pharmacist | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2010-04-29 |
| 1265662654 | Debra L Cosby | Pharmacist | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2009-07-20 |
| 1700029873 | John Franklin Reese | Pharmacist | 445 Winn Way, Suite 220, Decatur, GA 30030-1707 | 2009-04-20 |
| Find all providers with the same taxonomy | ||||
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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.