Individual provider Active NPI

Lisa Fisher Zammit, PA-C

  • Physician Assistant
  • Warner Robins, GA
National Provider Identifier
1265656169
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003468 Issued in GA
Practice address
607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690
Phone
(487) 225-9860
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003468 GA Primary

Addresses

Primary practice location

607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690

Mailing address

607 Russell Pkwy Ste a
Warner Robins, GA 31088-7690
Phone (487) 225-9860

Other practice location 1

1000 Towne Center Blvd
Suite 501
Pooler, GA 31322-4052
Phone (912) 330-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1419SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Healthqwest LLC PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 2

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1265656169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PKWY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887690",
            "telephone_number": "487-225-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUSSELL PKWY STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887690",
            "telephone_number": "487-225-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Towne Center Blvd",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224052",
            "country_code": "US",
            "telephone_number": "912-330-5030",
            "fax_number": "912-330-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMMIT",
        "first_name": "LISA",
        "middle_name": "FISHER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.