Active NPI
Lisa Bertina Carroll, PA C
- Physician Assistant
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0009929
- Practice address
- 2051 Hamill Road
Ste 301 a
Hixson, TN 37343 - Phone
- (423) 870-3376
- Fax
- (423) 877-1387
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 24, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0009929 | MD | Primary |
| Dermatology Physician | 207N00000X | PA0000001158 | TN |
Addresses
Primary practice location
2051 Hamill Road
Ste 301 a
Hixson, TN 37343
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (109) 330-0000
Other practice location 1
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 502-2037
Other names 1
- Lisa Bertina Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10710 Charter Dr
Suite 420
Columbia, MD 21044-3276
Phone (443) 546-1500
5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 740-7544
5755 Cedar LN
Columbia, MD 21044-2999
Phone (410) 740-7890
5759 Cedar LN
Columbia, MD 21044-2912
Phone (443) 718-3738
601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004444 | GA | MD | Clinical Social Worker |
| 1158 | TN | MD | Marriage & Family Therapist |
| PA0000001158 | TN | MD | Dermatology Physician |
| 008331 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Erlanger Health | Dermatology | Current | Accepting new patients |
| Johns Hopkins University | Dermatology | Current | Accepting new patients |
| Skin Cancer and Cosmetic Dermatology Center PC | Dermatology | Past | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Dermatology | Past | Accepting new patients |
| U-U Pediatric Dermatology | Past | Accepting new patients |
Locations
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1635 Gunbarrel Rd
Ste 400
Chattanooga, TN 37421
Phone (423) 778-5693
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Interoperability endpoints
- lcarroll1380338@direct.hopkinsmedicine.org
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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba UT Erlanger Health Network
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Dermatology
-
- Dermatology Physician
- Chattanooga, TN
- NPI 1144419458
-
- Pediatric Dermatology Physician
- Salt Lake City, UT
- NPI 1235339193
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1649381344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "109-330-0000",
"fax_number": "410-500-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 HAMILL ROAD",
"address_2": "STE 301 A",
"city": "HIXSON",
"state": "TN",
"postal_code": "37343",
"telephone_number": "423-870-3376",
"fax_number": "423-877-1387"
}
],
"practiceLocations": [
{
"address_1": "1800 Orleans St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870010",
"country_code": "US",
"telephone_number": "410-502-2037",
"fax_number": "410-955-0737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "LISA",
"middle_name": "BERTINA",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009929",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "PA0000001158",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "JONES",
"middle_name": "BERTINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hixson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.