Lisa F Goedert, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN131307 Issued in GA

Practice address

410 Darling Ave
Waycross, GA 31501-5246

Phone

(912) 338-6511

Fax

(336) 553-3994

NPI assigned

Mar 2, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bacon County Health Services, Inc.Group PAC ID 1850294034, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bacon County Hospital Hospital, Alma, GA, CCN 111327

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Medicare reassignment Care Compare group NPD
• Southern Nurse Anesthesiology, LLC

  • Certified Registered Nurse Anesthetist
  • Waycross, GA
  • NPI 1588922504

  Nurse Anesthetist, Certified Registered

  NPD
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1730156381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18824",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274198824",
            "telephone_number": "336-553-1659",
            "fax_number": "336-553-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015246",
            "telephone_number": "912-338-6511",
            "fax_number": "336-553-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEDERT",
        "first_name": "LISA",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN131307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00352168",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Giles Jr., MD
• David Robert Gill, MSHS, PA
• Roger Robert Gillis, LPC
• Angela Michelle Given, PHARM.D., R.PH
• Staci Shonte' Glee, PT, DPT
• Hector Kevin Gonzalez Fajardo, MD
• David N Gosselin, NURSE PRACTITIONER
• Harry Grace, LPN
• Loren Rae Grace, LPC
• Utrena Donsha Grant

• Certified Registered Nurse Anesthetist in Waycross, GA
• Providers in Waycross, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.