Individual provider Active NPI

Lisa M Avery, M.D.

  • Neurology Physician
  • Bradenton, FL
National Provider Identifier
1699008409
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
053486 Issued in GA
Practice address
3800 26TH St W
Bradenton, FL 34205-3508
Phone
(941) 752-1700
Fax
(941) 752-1717
NPI assigned
Sep 11, 2009
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X ME94226 FL
Neurology Physician 2084N0400X 053486 GA Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME94226 FL
Neurology Physician 2084N0400X ME 94226 FL
Clinical Neurophysiology Physician 2084N0600X ME 94226 FL

Addresses

Primary practice location

3800 26TH St W
Bradenton, FL 34205-3508

Mailing address

3800 26TH St W
Bradenton, FL 34205-3508
Phone (941) 752-1700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212000424 GA Practitioner - Neurology 5698996585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Rochester School of Medicine and Dentistry, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1260 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4513
Phone (214) 619-1910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053486GAMDNeurology Physician
ME 94226FLMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Neurosciences LLC Neurology CurrentSince Dec 1, 2024 Accepting new patients

Locations

1260 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 461-2101

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1699008409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053508",
            "telephone_number": "941-752-1700",
            "fax_number": "941-752-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053508",
            "telephone_number": "941-752-1700",
            "fax_number": "941-752-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME94226",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "053486",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME94226",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 94226",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME 94226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.