Individual provider Active NPI

Lisa Anne Swift, APRN

  • Adult Health Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1982803995
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN130193 Issued in GA
Practice address
1459 Montreal Rd
Suite 207
Tucker, GA 30084-6900
Phone
(770) 491-2622
Fax
(678) 990-5847
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN130193 GA Primary

Addresses

Primary practice location

1459 Montreal Rd
Suite 207
Tucker, GA 30084-6900

Mailing address

PO Box 1718
Demorest, GA 33053-1718
Phone (706) 754-8884

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
I20080519000464 GA Practitioner - Nurse Practitioner 4587733498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Geriatrics and Internal Medicine, PCGroup PAC ID 3971601899, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1500 Oglethorpe Ave
Athens, GA 30606-2190
Phone (706) 549-8931

696 Breedlove Dr
Suite a
Monroe, GA 30655-2052
Phone (770) 207-5677

901 Haymon Morris Rd
Winder, GA 30680-7837
Phone (678) 705-2123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Geriatrics and Internal Medicine, PC CurrentSince Jun 1, 2016 Accepting new patients
Boston Heart Diagnostics Corporation CurrentSince Jun 24, 2017 Accepting new patients
David R. Lesch, M.D., LLC Past Accepting new patients

Locations

1500 Oglethorpe Ave
Ste 3200
Athens, GA 30606
Phone (706) 549-8931

407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697

696 Breedlove Dr
Ste A
Monroe, GA 30655
Phone (770) 207-5677

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1982803995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "330531718",
            "telephone_number": "706-754-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 MONTREAL RD",
            "address_2": "SUITE 207",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846900",
            "telephone_number": "770-491-2622",
            "fax_number": "678-990-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN130193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.