Lisa Rene' Drake, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

39094 Issued in GA

Practice address

870 Saddle Hill Rd
Roswell, GA 30075-1249

Phone

(770) 640-9133

NPI assigned

Apr 21, 2006

Last updated

Oct 26, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Specialty Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1386799609
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1225094964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 COLEBROOK CT NW",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303274710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SADDLE HILL RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751249",
            "telephone_number": "770-640-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "LISA",
        "middle_name": "RENE'",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "39094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000741518O",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Naheed Ahmad PC
• Dr. Brian K. Howard P.C. (North Fulton Plastic Surgery)
• Dr. Maurice E. Zadeh, Optometrist, P.C. (Family Eyecare of Roswell)
• Dr. Richard W. McCann Jr.
• Dr. Syed W. Rizvi
• Kailen Denisia Drayer, OTR
• Drdee Nutrition
• Jeffry Dressander, MD
• Elisabeth Drevet
• Clarkson M Driggers, MD

• Anesthesiology Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.