Individual provider Active NPI

Lisa Smith, NP-C

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1154773539
Registry record updated Jan 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-056731 Issued in AL
Practice address
3320 Skyway Dr Ste 602
Opelika, AL 36801-7138
Phone
(334) 737-2737
Fax
(334) 821-1043
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-056731 AL Primary
Family Nurse Practitioner 363LF0000X GAA-NP001768 GA

Addresses

Primary practice location

3320 Skyway Dr Ste 602
Opelika, AL 36801-7138

Mailing address

3320 Skyway Dr Ste 602
Opelika, AL 36801-7138
Phone (334) 737-2737

Other practice location 1

1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Phone (706) 256-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161019000475 GA Practitioner - Nurse Practitioner 9133417447 Reassigns benefits to 1 organization
I20170118000800 AL Practitioner - Nurse Practitioner 9133417447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Alabama Endocrinology, P.C.Group PAC ID 8224187729, 7 clinicians

Practice addresses (Care Compare)

1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Phone (706) 256-2525

3320 Skyway Dr
Suite 602
Opelika, AL 36801-7138
Phone (334) 737-2737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767484800000",
    "number": "1154773539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 602",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017138",
            "telephone_number": "334-737-2737",
            "fax_number": "334-821-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SKYWAY DR STE 602",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017138",
            "telephone_number": "334-737-2737",
            "fax_number": "334-821-1043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Bradley Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319043688",
            "country_code": "US",
            "telephone_number": "706-256-2525",
            "fax_number": "706-256-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2026-01-04",
        "certification_date": "2026-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-056731",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.