Individual provider Active NPI

Lisa Marie Valdez, FNP

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1265679328
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197799 Issued in GA
Practice address
4251 Secret Shoals Way
Buford, GA 30518-8855
Phone
(407) 619-0910
Fax
(407) 619-0910
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 RN197799 GA Primary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X RN197799 GA

Addresses

Primary practice location

4251 Secret Shoals Way
Buford, GA 30518-8855

Mailing address

4251 Secret Shoals Way
Buford, GA 30518-8855
Phone (407) 619-0910

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
I20160308000309 GA Practitioner - Nurse Practitioner 7012213739 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN197799GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Hospital System Gme, LLC CurrentSince May 18, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2018 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2018 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

3855 Pleasant Hill Rd
Ste 100
Duluth, GA 30096
Phone (678) 312-7800

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

665 Duluth Hwy
Ste 501
Lawrenceville, GA 30046
Phone (678) 312-0400

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

Organizations & group practices 3

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1265679328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 SECRET SHOALS WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188855",
            "telephone_number": "407-619-0910",
            "fax_number": "407-619-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 SECRET SHOALS WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188855",
            "telephone_number": "407-619-0910",
            "fax_number": "407-619-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197799",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN197799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.