Lisa a. Wirth, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LISA A. WIRTH, MD LLC

Practice address

500 Spring St SE
Suite 201
Gainesville, GA 30501-3773

Phone

(770) 535-2497

Fax

(770) 535-2498

NPI assigned

Mar 4, 2009

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Ann Wirth, MDNPI 1932171758

Title

Doctor/Owner

Phone

(770) 535-2497

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Ann Wirth, MD

  • Psychiatry Physician
  • Gainesville, GA
  • NPI 1932171758
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1033359997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPRING ST SE",
            "address_2": "SUITE 201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013773",
            "telephone_number": "770-535-2497",
            "fax_number": "770-535-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRING ST SE",
            "address_2": "SUITE 201",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013773",
            "telephone_number": "770-535-2497",
            "fax_number": "770-535-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. WIRTH, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "WIRTH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-535-2497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000677795C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Linda Singleton, PT and Associates, Inc.
• Clifford Wesley Lindsey, M.D.
• Kiera Linton
• Brittany S Lipian, AAC
• Natasha Alexis Lisin-Queen, DMD
• Misty Litt, PA
• Delaney Jarrett Little, FNP-C
• Morgan Little
• Stephen L Little, MD

• Psychiatry Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.