Individual provider Active NPI

Lisa C Flachbarth, ANP-BC, GNP-BC

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1265865257
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN160118 Issued in GA
Practice address
1864 Jenna Lyn CT
Lawrenceville, GA 30043-7103
Phone
(678) 873-2426
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN160118 GA Primary
Adult Health Nurse Practitioner 363LA2200X RN160118 GA
Gerontology Nurse Practitioner 363LG0600X RN160118 GA

Addresses

Primary practice location

1864 Jenna Lyn CT
Lawrenceville, GA 30043-7103

Mailing address

1864 Jenna Lyn CT
Lawrenceville, GA 30043-7103
Phone (678) 873-2426

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
I20131002000241 GA Practitioner - Nurse Practitioner 7416181672 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN160118GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Nurse Practitioner Current Accepting new patients
The Emory Clinic Inc CurrentSince Sep 16, 2012 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Feb 18, 2025 Accepting new patients

Locations

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

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1265865257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 JENNA LYN CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437103",
            "telephone_number": "678-873-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 JENNA LYN CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437103",
            "telephone_number": "678-873-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACHBARTH",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "ANP-BC, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN160118",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN160118",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN160118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.