Individual provider Active NPI

Lisa Jane Hannah Cichon, M.D.

  • Anatomic Pathology Physician
  • Durham, NC
National Provider Identifier
1982920336
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
074043 Issued in GA
Practice address
7250 NC Highway 751 Apt 1109
Durham, NC 27707-5720
Phone
(773) 934-4853
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 074043 GA Primary

Addresses

Primary practice location

7250 NC Highway 751 Apt 1109
Durham, NC 27707-5720

Mailing address

7250 NC Highway 751 Apt 1109
Durham, NC 27707-5720
Phone (773) 934-4853

Other names 1

  • Lisa Jane Hannah Stonehocker Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001767 GA Practitioner - Pathology 3678535374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Piedmont Pathology PC 11 clinicians
Peachtree Laboratory Associates PC 11 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2054

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
074043GAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Piedmont Pathology PC CurrentSince May 1, 2020 Accepting new patients
Peachtree Laboratory Associates PC CurrentSince May 1, 2020 Accepting new patients
Pathology and Laboratory Medicine, PC CurrentSince Jul 1, 2015 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

3300 Buckeye Rd
Ste 178
Atlanta, GA 30341
Phone (770) 458-6101

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1982920336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 NC HIGHWAY 751 APT 1109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075720",
            "telephone_number": "773-934-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 NC HIGHWAY 751 APT 1109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075720",
            "telephone_number": "773-934-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHON",
        "first_name": "LISA",
        "middle_name": "JANE HANNAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "GA",
            "license": "074043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "STONEHOCKER",
            "middle_name": "JANE HANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.