NPIMap

Individual provider Active NPI

Lisa Lillich Culpepper, MD

  • Family Medicine Physician
  • Johns Creek, GA
National Provider Identifier
1316951999
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
046070 Issued in GA
Practice address
11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515
Phone
(770) 497-1555
Fax
(770) 497-9998
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 046070 GA Primary

Addresses

Primary practice location

11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515

Mailing address

11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3515
Phone (770) 497-1555

Other names 1

  • Dr. Lisa Lillich Crisp Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000462 GA Practitioner - Family Practice 7012017577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
North Chattahoochee Family Physicians, LLCGroup PAC ID 6406954296, 3 clinicians

Practice addresses (Care Compare)

11459 Johns Creek Pkwy
Suite 250
Johns Creek, GA 30097-3517
Phone (770) 497-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as individual
Quality
83.66
Improvement activities
40
Cost
75.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Chattahoochee Family Physicians, LLC Family Medicine CurrentSince Sep 4, 2001 Accepting new patients

Locations

11459 Johns Creek Pkwy
Ste 250
Johns Creek, GA 30097
Phone (770) 497-1555

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1316951999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY",
            "address_2": "SUITE 250",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "770-497-1555",
            "fax_number": "770-497-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "LISA",
        "middle_name": "LILLICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CRISP",
            "middle_name": "LILLICH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.