Individual provider Active NPI

Lisa Marie Parker, NP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1932552890
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20218 Issued in SC
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

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GP8328MedicaidSC

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

LicenseStateTypeSpecialty
20218SCMDFamily 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.

Verify at the official NPI Registry.