Lisa Feagan (NPI# 1467930032, PAC ID# 6800131541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467930032 |
| PAC ID by PECOS | 6800131541 |
| Professional Enrollment ID | I20181227000709 |
| Full Name | Lisa Feagan |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
125 Nationwide Dr Lynchburg VA 24502-4272 |
| Phone Number | 4342003908 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 125 Nationwide Dr, Lynchburg, VA 24502-4272 | 4342003908 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
125 NATIONWIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip | 24502-4272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Dillon Cure | Internal Medicine | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Wendoline A Proffitt | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Lou A Roberts | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| James W Meadows | Internal Medicine | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Kimberly F Parr | Nurse Practitioner | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| John Daniel Ruck | Nurse Practitioner | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Melanie C Marks | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Spencer Latham | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Matthew Np Neumann | Nurse Practitioner | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Catherine Lynn Williams | Nurse Practitioner | Centra Medical Group LLC | 125 Nationwide Dr, Lynchburg, VA 24502-4272 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olubukola Ojuola | Pediatric Medicine | Central Virginia Family Physicians, Inc | 2321 Wards Rd, Lynchburg, VA 24502-2101 |
| Timothy J Wilson | Optometry | Virginia Eye Clinic, Pllc | 2413 Wards Rd, Lynchburg, VA 24502-2103 |
| Cathy Q Anderson | Optometry | Virginia Eye Clinic, Pllc | 2413 Wards Rd, Lynchburg, VA 24502-2103 |
| Mary D Holland | Chiropractic | 7327 Timberlake Rd, Lynchburg, VA 24502-2318 | |
| Jeffrey H Widmeyer | Vascular Surgery | 7626 Timberlake Rd, Lynchburg, VA 24502-2325 | |
| Edward A Bauchou Jr. | Chiropractic | 7724 Timberlake Rd, Lynchburg, VA 24502-2327 | |
| Kendall T Travis | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Shelby Midkiff | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Pradeep Bansal | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Jackson Connell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 801 Wyndhurst Dr, Lynchburg, VA 24502-2550 |
| Find all physicians in zip 24502 | |||
| City | LYNCHBURG |
| Zip Code | 24502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LYNCHBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.