Individual provider Active NPI

Lisa Johns

  • Family Medicine Physician
  • Gahanna, OH
National Provider Identifier
1982964664
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.126770CTR Issued in OH
Practice address
725 Buckles CT N Ste 100
Gahanna, OH 43230-6884
Phone
(614) 471-9654
Fax
(614) 392-4586
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.126770CTR OH Primary

Addresses

Primary practice location

725 Buckles CT N Ste 100
Gahanna, OH 43230-6884

Mailing address

725 Buckles CT N Ste 100
Gahanna, OH 43230-6884
Phone (614) 471-9654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150728004038 OH Practitioner - Family Practice 7719126200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gahanna Physical Therapy Limited PartnershipGroup PAC ID 4385783083, 71 clinicians
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

1045 Beecher Crossing N
Suite C
Gahanna, OH 43230-4573

725 Buckles CT N
Suite 100
Gahanna, OH 43230-6884
Phone (614) 471-9654

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.126770CTROHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Nov 27, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Southeast, Inc CurrentSince Jul 6, 2015 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Southeast, Inc CurrentSince Jul 6, 2015 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

16 W Long St
Columbus, OH 43215

725 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 471-9654

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: ljohns72252@copcp.medicity.net

Organizations & group practices 6

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 2

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": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1982964664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-471-9654",
            "fax_number": "614-392-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-471-9654",
            "fax_number": "614-392-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.126770CTR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.