Lisa Hutcheson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2572 Issued in GA

Practice address

745 Glynn St S
Fayetteville, GA 30214-2049

Phone

(770) 719-5490

Fax

(770) 719-3113

NPI assigned

Oct 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breast Care SpecialistsGroup PAC ID 8123014297, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.01 of 100Reported as group

Quality

62.5

Improvement activities

40

Cost

73.36

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Breast Care Specialists

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1265412142
  Medicare reassignment Care Compare group
• Healthquest Chiropractic of Georgia

  • Chiropractor
  • Fayetteville, GA
  • NPI 1851652747
  NPD (past)

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

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1487082392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 AUTUMN GLO CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301355097",
            "telephone_number": "404-610-9998",
            "fax_number": "770-719-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 GLYNN ST S",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142049",
            "telephone_number": "770-719-5490",
            "fax_number": "770-719-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "LISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Services Management Group, Inc.
• Bonita Hunt
• Valerie Davis Hunt, LPN
• Pamela Hunter, RN
• Robert Boyd Hunter, M.D.
• Jane Ellen Hutchinson, M.A., CCC-SLP
• Dishea Shantel Hutt, RBT
• Phung Huynh
• HWC Therapy Center, Inc.
• Ideal Healthcare Providers LLC

• Physician Assistant in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.

Verify at the official NPI Registry.