Active NPI
Lisa Terrell Crews, NP
- Adult Health Nurse Practitioner
- Hinesville, GA
National Provider Identifier
1053635763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN113544
- Practice address
- 455 S Main St Ste 104
Hinesville, GA 31313-4354 - Phone
- (912) 876-5644
- Fax
- (912) 877-6341
- NPI assigned
- Mar 24, 2010
- Last updated
- May 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN113544 | GA | Primary |
Addresses
Primary practice location
455 S Main St Ste 104
Hinesville, GA 31313-4354
Mailing address
455 S Main St Ste 104
Hinesville, GA 31313-4354
Phone (912) 876-5644
Other practice location 1
586 Islands Highway
Midway, GA 31320
Phone (912) 369-9302
Other practice location 2
73 Coastal Manor Dr SE
Ludowici, GA 31316-2949
Phone (912) 369-9313
Other names 1
- Lisa Renee Terrell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN113544 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher a. Kuettner, MD | Past | Accepting new patients | |
| SJC Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Richmond Hill, GA
- NPI 1003095753
-
- Family Medicine Physician
- Savannah, GA
- NPI 1811233828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1053635763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST STE 104",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134354",
"telephone_number": "912-876-5644",
"fax_number": "912-877-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 S MAIN ST STE 104",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134354",
"telephone_number": "912-876-5644",
"fax_number": "912-877-6341"
}
],
"practiceLocations": [
{
"address_1": "586 Islands Highway",
"address_purpose": "LOCATION",
"city": "Midway",
"state": "GA",
"postal_code": "31320",
"country_code": "US",
"telephone_number": "912-369-9302",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "73 Coastal Manor Dr SE",
"address_purpose": "LOCATION",
"city": "Ludowici",
"state": "GA",
"postal_code": "313162949",
"country_code": "US",
"telephone_number": "912-369-9313",
"fax_number": "912-545-0043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CREWS",
"first_name": "LISA",
"middle_name": "TERRELL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN113544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "TERRELL",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.