Lisa Bivens

Individual provider Active NPI Technician · Americus, GA

NPI 1992506364 · NPPES record last updated Mar 21, 2025

Key facts

NPI
1992506364
Entity type
Individual (NPI type 1)
Primary specialty
Technician 374700000X
Practice address
907 Elmo St
Americus, GA 31709-3710
Phone
(229) 591-4000
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X Yes

Addresses

Primary practice location

907 Elmo St
Americus, GA 31709-3710

Mailing address

122 W Forsyth St
Americus, GA 31709-3561
Phone (229) 591-4000

Other providers in Americus, GA

All providers in Americus, GA · Technician in Georgia

Sources for this page

Verify at the official NPI Registry.