Lisa A Batten, NP
Individual provider Active NPI Nurse Practitioner · Douglas, GA
NPI 1538469705 · NPPES record last updated Nov 22, 2011
Key facts
- NPI
- 1538469705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN138008 (GA)
- Practice address
- 1208 Ocilla Rd
Douglas, GA 31533-2220 - Phone
- (912) 384-6276
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acs Primary Care Physicians - Southeast PC
Practice addresses (Care Compare)
1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20101204000039 | GA | Practitioner - Nurse Practitioner | 5294922126 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Nurse Practitioner | Current |
Accepting new patients |
| Village Podiatry Group II, LLC. | Current |
Accepting new patients | |
| Peter Wrobel MD PC | Current |
Accepting new patients | |
| Bloom Well Health Clinic LLC | Nurse Practitioner | Current | Accepting new patients |
| Village Podiatry Group II, LLC. | Nurse Practitioner | Current |
Accepting new patients |
| Collins Cardiology | Past | Accepting new patients | |
| Collins Cardiology | Past | Accepting new patients |
Locations
2045 Peachtree Rd NE
Ste 810
Atlanta, GA 30309
Phone (404) 351-0770
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030
1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220
1720 Old Reynolds St
Waycross, GA 31501
Phone (912) 809-6401
1718 Old Reynolds St
Waycross, GA 31501
Phone 9122831359200
Interoperability endpoints
- lisa.batten.1@27501.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN138008 | GA | Yes |
Addresses
Primary practice location
1208 Ocilla Rd
Douglas, GA 31533-2220
Mailing address
PO Box 2109
Douglas, GA 31534-2109
Phone (912) 384-6276
Other names
- Lisa A Tyre
Other providers in Douglas, GA
- Charles A Bagwell
- Sherry Bailey
- Manish Kumar Bansal
- Akhil Baranwal
- James William Barber
- Sandra Batten
- Saad Eldin Bedeir
- Willie W Bell
- Kimberly Brooke Bennett
- Sara Benson
All providers in Douglas, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2011. 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.