Active NPI
Lisa M Price, M.D.
- Obstetrics & Gynecology Physician
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 055577
- Practice address
- 1829 Independence SQ Ste 1
Dunwoody, GA 30338-5153 - Phone
- (770) 551-9616
- Fax
- (770) 394-3647
- NPI assigned
- Nov 9, 2005
- Last updated
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 055577 | GA | Primary |
Addresses
Primary practice location
1829 Independence SQ Ste 1
Dunwoody, GA 30338-5153
Mailing address
5780 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1513
Phone (404) 303-8035
Other practice location 1
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5713
Other practice location 2
2678 Buford Nehwy
Atlanta, GA 30324-3240
Phone (678) 904-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383705255 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lprice372818@directwellstar.org |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055577 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Women's Health Group, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Atlanta Women's Health Group, P.C. | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Northside Northpoint OB GYN 2 LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Northside Hospital, Inc. | Past | Accepting new patients |
Locations
3905 Brookside Pkwy
Ste 102
Alpharetta, GA 30022
Phone (470) 394-2657
1829 Independence Sq
Ste 1
Dunwoody, GA 30338
Phone (770) 551-9616
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
5780 Peachtree Dunwoody Rd
Sandy Springs, GA 30342
Phone (404) 255-0621
5780 Peachtree Dunwoody Rd
Ste 175
Sandy Springs, GA 30342
Phone (678) 651-2840
5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621
5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137
Interoperability endpoints
- lisa.price@gadirect.net
Organizations & group practices 6
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.
-
- Specialist
- Atlanta, GA
- NPI 1174501902
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Obstetrics & Gynecology Physician
- Sandy Springs, GA
- NPI 1013971753
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1023148616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1508847336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5780 PEACHTREE DUNWOODY RD STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421513",
"telephone_number": "404-303-8035",
"fax_number": "404-303-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 INDEPENDENCE SQ STE 1",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303385153",
"telephone_number": "770-551-9616",
"fax_number": "770-394-3647"
}
],
"practiceLocations": [
{
"address_1": "677 Church St NE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300601101",
"country_code": "US",
"telephone_number": "770-793-5713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2678 BUFORD NEHWY",
"address_purpose": "LOCATION",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243240",
"country_code": "US",
"telephone_number": "678-904-5999",
"fax_number": "678-298-6519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICE",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "055577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383705255",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lprice372818@directwellstar.org",
"affiliation": "N",
"address_1": "677 Church St NE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.