Active NPI
Lisa Marie Parker, NP
- Family Nurse Practitioner
- Augusta, GA
National Provider Identifier
1932552890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 20218
- Practice address
- 1321A Interstate Pkwy
Augusta, GA 30909-5626 - Phone
- (706) 738-7246
- Fax
- (706) 738-7248
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN201619 | GA | |
| Family Nurse Practitioner | 363LF0000X | 20218 | SC | Primary |
Addresses
Primary practice location
1321A Interstate Pkwy
Augusta, GA 30909-5626
Mailing address
1 Hickman St
Graniteville, SC 29829-2955
Phone (803) 392-7092
Other practice location 1
1000 Clyburn Pl
Aiken, SC 29801-4193
Phone (803) 380-7000
Other practice location 2
4500 Forest Dr Ste A
Columbia, SC 29206-3105
Phone (803) 738-9522
Other practice location 3
1 Hickman St
Graniteville, SC 29829
Phone (803) 392-7092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP8328 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20218 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1932552890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HICKMAN ST",
"city": "GRANITEVILLE",
"state": "SC",
"postal_code": "298292955",
"telephone_number": "803-392-7092",
"fax_number": "803-392-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321A INTERSTATE PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309095626",
"telephone_number": "706-738-7246",
"fax_number": "706-738-7248"
}
],
"practiceLocations": [
{
"address_1": "1000 Clyburn Pl",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298014193",
"country_code": "US",
"telephone_number": "803-380-7000",
"fax_number": "803-502-4248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 Forest Dr Ste A",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292063105",
"country_code": "US",
"telephone_number": "803-738-9522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hickman St",
"address_purpose": "LOCATION",
"city": "Graniteville",
"state": "SC",
"postal_code": "29829",
"country_code": "US",
"telephone_number": "803-392-7092",
"fax_number": "803-392-7174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN201619",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "20218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP8328",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.