Individual provider Active NPI

Lisa Dasher Anderson, FNP-BC

  • Family Nurse Practitioner
  • Glennville, GA
National Provider Identifier
1790145258
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN220834 Issued in GA
Practice address
1000B North Veterans Boulevard
Glennville, GA 30427
Phone
(912) 654-4599
Fax
(912) 654-4610
NPI assigned
Feb 26, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN220834 GA Primary

Addresses

Primary practice location

1000B North Veterans Boulevard
Glennville, GA 30427

Mailing address

460 Mall BVLD
Ste.B
Savannah, GA 31406
Phone (912) 644-5300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001518 GA Practitioner - Nurse Practitioner 9638476179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians
Tattnall Healthcare LLCGroup PAC ID 3779547658, 4 clinicians

Practice addresses (Care Compare)

1000 B N Veterans Blvd
Glennville, GA 30427-8603
Phone (912) 654-4599

247 S Main St
Reidsville, GA 30453-4605

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.22 of 100Reported as group
Quality
71.46
Promoting interoperability
0
Improvement activities
40
Cost
59.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tattnall Hospital Company, LLC CurrentSince Feb 10, 2016 Accepting new patients
Tattnall Hospital Company, LLC Current Accepting new patients
Tattnall Hospital Company, LLC Past Accepting new patients

Locations

1000B N Veterans Blvd
Glennville, GA 30427
Phone (912) 654-4599

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

Interoperability endpoints

  • Direct secure messaging: lisa.anderson@healthiealerts.org

Organizations & group practices 3

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 3

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1790145258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MALL BVLD",
            "address_2": "STE.B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31406",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000B NORTH VETERANS BOULEVARD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "30427",
            "telephone_number": "912-654-4599",
            "fax_number": "912-654-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LISA",
        "middle_name": "DASHER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glennville, GA

Sources for this page

Verify at the official NPI Registry.