Individual provider Active NPI

Lisa Munisteri

  • Adult Health Nurse Practitioner
  • Taylorsville, GA
National Provider Identifier
1265887137
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN214464 Issued in GA
Practice address
220 Hills Creek Rd
Taylorsville, GA 30178-2068
Phone
(770) 773-5331
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN214464 GA Primary
Gerontology Nurse Practitioner 363LG0600X RN214464 GA

Addresses

Primary practice location

220 Hills Creek Rd
Taylorsville, GA 30178-2068

Mailing address

25 Hastings Dr
Cartersville, GA 30120-6499
Phone (770) 773-5331

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
I20160713001465 GA Practitioner - Nurse Practitioner 1355633215 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN214464GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Systems, LLC CurrentSince Feb 11, 2020 Accepting new patients
Christopher Dennis MD PLLC CurrentSince May 10, 2022 Accepting new patients
Geps Physician Group of Georgia PC CurrentSince May 7, 2016 Accepting new patients
Senior Medical Systems Past Accepting new patients

Locations

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

650 Henderson Dr
Ste 430
Cartersville, GA 30120
Phone (404) 334-5859

1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902

11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159

Organizations & group practices 4

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1265887137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HASTINGS DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206499",
            "telephone_number": "770-773-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HILLS CREEK RD",
            "city": "TAYLORSVILLE",
            "state": "GA",
            "postal_code": "301782068",
            "telephone_number": "770-773-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNISTERI",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN214464",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN214464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, GA

Sources for this page

Verify at the official NPI Registry.