Lisa Rush Sampson, AU.D.

Primary specialty

Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X

License

AUD001486 Issued in GA

Practice address

111 Fieldstone Dr Ste 106
Milledgeville, GA 31061-7108

Phone

(478) 452-0578

Fax

(478) 453-0967

NPI assigned

Mar 22, 2018

Last updated

Mar 22, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1881198976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 106",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108",
            "telephone_number": "478-452-0578",
            "fax_number": "478-453-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 106",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108",
            "telephone_number": "478-452-0578",
            "fax_number": "478-453-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "LISA",
        "middle_name": "RUSH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "GA",
            "license": "AUD001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Connor Ryan, MD
• S. Clark Heindel, PH.D.
• S.C.P Transit,LLC
• Phillip Salter
• Luis Samper, MD
• Donzaleigha Sams
• Marisol San Inocencio, MD
• Anne T Sanchez, DMD
• Julie Sanders
• Keondra Sanford

• Audiologist in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• Audiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.