Active NPI
Flor Maritza Lliso, P.A.
- Physician Assistant
- Augusta, GA
National Provider Identifier
1346222569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 183500000X
- Practice address
- 5795 Carriage Hills Dr
Augusta, GA 30907-8208 - Phone
- (912) 980-7342
- NPI assigned
- Nov 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 183500000X | GA | Primary |
Addresses
Primary practice location
5795 Carriage Hills Dr
Augusta, GA 30907-8208
Mailing address
5795 Carriage Hills Dr
Augusta, GA 30907-8208
Phone (912) 980-7342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183500000X | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1346222569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5795 CARRIAGE HILLS DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309078208",
"telephone_number": "912-980-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5795 CARRIAGE HILLS DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309078208",
"telephone_number": "912-980-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLISO",
"first_name": "FLOR",
"middle_name": "MARITZA",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "183500000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.