Individual provider Active NPI

Lisa Ailes

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1174913248
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN243650 Issued in GA
Practice address
2737 Warm Springs Road
Columbus, GA 31904
Phone
(706) 653-2255
NPI assigned
Jan 28, 2015
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN243650 GA Primary

Addresses

Primary practice location

2737 Warm Springs Road
Columbus, GA 31904

Mailing address

4519 Woodruff Road
Suite 4 PMB 349
Columbus, GA 31904
Phone (706) 653-2255

Other identifiers 1

IdentifierTypeStateIssuer
RN243650OtherGAGA SECRETARY OF STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160121000854 AL Practitioner - Nurse Practitioner 6406173152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills Physican Acute Care Services, LLCGroup PAC ID 2961866991, 13 clinicians

Practice addresses (Care Compare)

1850 Shug Jordan Pkwy
Suite 101
Auburn, AL 36830-3084
Phone (334) 209-1117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.26 of 100Reported as group
Quality
78.94
Promoting interoperability
100
Improvement activities
40
Cost
72.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority Current Accepting new patients
The East Alabama Health Care Authority CurrentSince Nov 28, 2015 Accepting new patients
Mills Physican Acute Care Services, LLC CurrentSince Apr 10, 2024 Accepting new patients
Eamc Physicians Group CurrentSince Nov 28, 2015 Accepting new patients
Hospice Advantage Midco, LLC Past Accepting new patients

Locations

1850 Shug Jordan Pkwy
Ste 101
Auburn, AL 36830
Phone (334) 209-1117

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1174913248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 WOODRUFF ROAD",
            "address_2": "SUITE 4 PMB 349",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-653-2255",
            "fax_number": "706-653-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 WARM SPRINGS ROAD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-653-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AILES",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN243650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA SECRETARY OF STATE",
            "identifier": "RN243650",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.