Lise Wendy Forestal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12173 Issued in GA

Practice address

113 Willie Lee Pkwy
Warner Robins, GA 31088-8970

Phone

(478) 333-6688

Fax

(478) 333-6634

NPI assigned

Mar 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Medical Center of Central Georgia Inc.Group PAC ID 3678477445, 30 clinicians

Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lforestal433910@carolinashealthcaresystem.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Services of Central Georgia, Inc

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD
• The Medical Center of Central Georgia Inc.

  • Home Health Agency
  • Macon, GA
  • NPI 1831287655

  GA

  Medicare reassignment Care Compare group NPD
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare group NPD
• The Medical Center of Central Georgia Inc

  • Land Ambulance
  • Macon, GA
  • NPI 1326630153
  Care Compare group
• The Medical Center of Central Georgia Inc.

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1760557953
  Care Compare group
• The Medical Center of Central Georgia, Inc.

  • Psychiatric Hospital Unit
  • Macon, GA
  • NPI 1861677668
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564

  Hospital

  Care Compare affiliation
• The Medical Center of Peach County, Inc

  • Critical Access Hospital
  • Byron, GA
  • NPI 1114923406

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1104453711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 RIVERSIDE DR STE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041787",
            "telephone_number": "478-633-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WILLIE LEE PKWY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888970",
            "telephone_number": "478-333-6688",
            "fax_number": "478-333-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTAL",
        "first_name": "LISE",
        "middle_name": "WENDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "12173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carleen Mays Forbes, LMFT
• Christopher Ford
• Nadia Jekenya Ford
• Sarah Melissa Fordham
• Charietta C Foreman
• Jerry Forsyth
• Analise Lowery Foster, CRNA
• Cynthia Foster, CNM
• Heather Ashlee Fountain, PHARMD
• Jessica Mindy Fountain, DMD

• All providers in Warner Robins, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.