Lisa Adams, CRNP
Individual provider Active NPI Nurse Practitioner · Pinehurst, NC
NPI 1508850892 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1508850892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5013179 (NC)
- Practice address
- 155 Memorial Dr
Pinehurst, NC 28374-8710 - Phone
- (910) 715-2164
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- FHPG LLC
Practice addresses (Care Compare)
104 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 895-1989
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001149 | PA | Practitioner - Nurse Practitioner | 0648463869 | Reassigns benefits to 1 organization |
| I20200709002065 | NC | Practitioner - Nurse Practitioner | 0648463869 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP005643C | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic | Current |
Accepting new patients | |
| Fornance Physician Services, Inc. | Current |
Accepting new patients | |
| MCPC-2, LLC | Current |
Accepting new patients | |
| MCPC-17, LLC | Current |
Accepting new patients | |
| Fornance Physician Services, Inc. | Current | Accepting new patients | |
| Fornance Physician Services, Inc. | Current |
Accepting new patients | |
| MCPC-16, LLC | Current |
Accepting new patients | |
| MCPC-17, LLC | Current |
Accepting new patients | |
| MCPC-7, LLC | Adult Health | Current |
Accepting new patients |
| Fornance Physician Services, Inc | Current | Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Current |
Accepting new patients | |
| FHPG, LLC | Current | Accepting new patients | |
| Firsthealth of the Carolinas, Inc. | Current |
Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients | |
| FHPG, LLC | Past | Accepting new patients |
Locations
1021 W Hamlet Ave
Ste 5
Hamlet, NC 28345
Phone (910) 205-0400
104 Rice St
Hamlet, NC 28345
Phone (910) 582-4003
222 W Main St
Hamlet, NC 28345
Phone (910) 205-0400
293 Olmsted Blvd
Ste 1
Pinehurst, NC 28374
Phone (910) 255-0033
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
6322 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6700
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
522 Allen St
Ste 101
Troy, NC 27371
Phone (910) 571-5510
721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600
17 Iron Bridge Dr
#150
Collegeville, PA 19426
Phone (484) 622-6320
100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400
612 Fayette St
Fl 2
Conshohocken, PA 19428
Phone (484) 622-6500
210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726
342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500
1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341
1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510
4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741
Interoperability endpoints
- ladams100443@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | TP005643C | PA | |
| Family Nurse Practitioner | 363LF0000X | SP008112 | PA | |
| Nurse Practitioner | 363L00000X | 5013179 | NC | Yes |
Addresses
Primary practice location
155 Memorial Dr
Pinehurst, NC 28374-8710
Mailing address
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-2164
Other providers in Pinehurst, NC
- A Marks the Spot
- Maritza Abonza
- Jeffrey C Acker
- Olufunsho Adamolekun
- Dawn Marie Adams
- Megan Adams
- Rachana Adhikari
- Haley Adkins
- Advanced Medical Group PA
- Aeris Performance Concepts, LLC
All providers in Pinehurst, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.