Individual provider Active NPI

Lisa Dileonardo, FNP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1346801701
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-152104 Issued in AL
Practice address
6228 Bradley Park Dr Ste a
Columbus, GA 31904-3605
Phone
(706) 322-1486
Fax
(706) 324-3419
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-152104 AL Primary

Addresses

Primary practice location

6228 Bradley Park Dr Ste a
Columbus, GA 31904-3605

Mailing address

6228 Bradley Park Dr Ste a
Columbus, GA 31904-3605
Phone (706) 322-1486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190918002802 AL Practitioner - Nurse Practitioner 7618207598 Reassigns benefits to 1 organization
I20200129002474 GA Practitioner - Nurse Practitioner 7618207598 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Ambulatory Healthcare Services, Inc.Group PAC ID 1355244385, 157 clinicians

Practice addresses (Care Compare)

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1454

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-152104ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC CurrentSince Jan 1, 2021 Accepting new patients
Renal Associates of Lagrange LLC Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Feb 22, 2021 Accepting new patients
Renal Associates of Lagrange LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

4391 Riverchase Dr
Phenix City, AL 36867
Phone (334) 298-0294

6228 Bradley Park Dr
Ste A
Columbus, GA 31904
Phone 7063221486203

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1216 Stark Ave
Columbus, GA 31906
Phone (706) 320-0103

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1300 Lafayette Pkwy
Ste D
Lagrange, GA 30241
Phone (706) 882-2800

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6fa252c3-32fe-4cd1-9a6f-9884e79f34f6/

Organizations & group practices 7

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 1

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1346801701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 BRADLEY PARK DR STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043605",
            "telephone_number": "706-322-1486",
            "fax_number": "706-324-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEONARDO",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-152104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.