Active NPI
Lisa Marian King, M.D.
- Obstetrics & Gynecology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 008436
- Practice address
- 764 Pine St
Macon, GA 31201 - Phone
- (478) 633-1056
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 008436 | GA | Primary |
Addresses
Primary practice location
764 Pine St
Macon, GA 31201
Mailing address
764 Pine St
Macon, GA 31201-2107
Phone (478) 633-1056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Mercer University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 2ND Ave
Summerville, SC 29486-7908
Phone (843) 797-3664
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg South Carolina PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Whap, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555
400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579
105 Halton Village Cir
Ste A
Greenville, SC 29607
Phone (864) 234-1433
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lisa.king.1@7773.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1538457361
-
dba Lyndhurst Gynecologic Associates
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1649261785
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Millennium
- Clinic/Center
- Greenville, SC
- NPI 1104052752
Hospital
-
dba St. Francis-Downtown
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
dba Bon Secours Laboratory Services - Greenville
- Clinical Medical Laboratory
- Greenville, SC
- NPI 1972127017
Hospital
-
dba St. Francis Cancer Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
dba Bon Secours St. Francis Surgery Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1275881070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 PINE ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012107",
"telephone_number": "478-633-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 PINE ST",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LISA",
"middle_name": "MARIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "008436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.