Individual provider Active NPI

Lisa L. Clark, APRN

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1801160353
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN089162 Issued in GA
Practice address
SC House Calls, Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone
(800) 491-0909
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 RN089162 GA Primary

Addresses

Primary practice location

SC House Calls, Inc.
111 Doctors Cir.
Columbia, SC 29203

Mailing address

SC House Calls, Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone (800) 491-0909

Other practice location 1

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2100

Other identifiers 1

IdentifierTypeStateIssuer
003179288AMedicaidGA

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
I20160719002203 GA Practitioner - Nurse Practitioner 8628988011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chronic Disease Management of Georgia LLCGroup PAC ID 7618306721, 76 clinicians

Practice addresses (Care Compare)

704 Breedlove Dr
Suite a
Monroe, GA 30655-2054
Phone (888) 772-0076

Merit-based Incentive Payment System (MIPS)

Final score
50.51 of 100Reported as group
Quality
16.39
Improvement activities
20
Cost
79.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN089162GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Diagnostics LLC Current Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Aug 6, 2025 Accepting new patients
Community Primary Care of Georgia LLC CurrentSince Jun 16, 2016 Accepting new patients

Locations

4421 Carnes St
Acworth, GA 30101
Phone (478) 621-2072

1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072

343 Plantation Way
Macon, GA 31210
Phone (478) 405-9000

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1801160353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS, INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS, INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Boulder Dr",
            "address_purpose": "LOCATION",
            "city": "Gray",
            "state": "GA",
            "postal_code": "31032",
            "country_code": "US",
            "telephone_number": "478-621-2100",
            "fax_number": "478-744-0481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LISA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN089162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003179288A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.