Individual provider Active NPI

Lucy Bibisi, FNP-C

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1356715726
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219355 Issued in GA
Practice address
6509 Gateway Rd
Columbus, GA 31909-5681
Phone
(706) 214-2644
NPI assigned
Nov 22, 2015
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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 RN219355 GA Primary

Addresses

Primary practice location

6509 Gateway Rd
Columbus, GA 31909-5681

Mailing address

6509 Gateway Rd
Columbus, GA 31909-5681
Phone (706) 214-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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
I20161028000420 GA Practitioner - Nurse Practitioner 4486951720 Reassigns benefits to 4 organizations
I20221010000247 FL Practitioner - Nurse Practitioner 4486951720 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Georgia Primary Care, PC CurrentSince Jan 24, 2019 Accepting new patients
Afc Physicians of Georgia Urgent Care, PC CurrentSince Oct 1, 2021 Accepting new patients
Coweta Emergency Group LLC CurrentSince Aug 27, 2016 Accepting new patients
American Current Care P.a. CurrentSince Oct 3, 2022 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Jun 28, 2021 Accepting new patients
American Current Care PA CurrentSince Oct 3, 2022 Accepting new patients
Afc Physicians of Georgia Primary Care, PC Current Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520

7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174

4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066

6509 Gateway Rd
Columbus, GA 31909
Phone (706) 243-0174

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

3481 Ernest W Barrett Pkwy SW
Marietta, GA 30064
Phone (678) 348-5119

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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, 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": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1356715726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 GATEWAY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095681",
            "telephone_number": "706-214-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 GATEWAY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095681",
            "telephone_number": "706-214-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBISI",
        "first_name": "LUCY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.