Individual provider Active NPI

Kasey Lila Lieu, FNP-C

  • Family Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1245716505
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN260530 Issued in GA
Practice address
3020 Highway 124
Snellville, GA 30039-4614
Phone
(770) 978-1331
Fax
(770) 978-8580
NPI assigned
Jul 19, 2018
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN260530 GA Primary

Addresses

Primary practice location

3020 Highway 124
Snellville, GA 30039-4614

Mailing address

3020 Highway 124
Snellville, GA 30039-4614
Phone (770) 978-1331

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181103000056 GA Practitioner - Nurse Practitioner 6204189590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. B Abraham PC CurrentSince Jul 19, 2018 Accepting new patients

Locations

3020 Scenic Hwy S
Snellville, GA 30039
Phone (770) 978-1331

Interoperability endpoints

  • Direct secure messaging: kasey.lieu@dbap.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1245716505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HIGHWAY 124",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394614",
            "telephone_number": "770-978-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HIGHWAY 124",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300394614",
            "telephone_number": "770-978-1331",
            "fax_number": "770-978-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEU",
        "first_name": "KASEY",
        "middle_name": "LILA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN260530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.