LISA GAYE INGRAM (NPI# 1104456235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104456235 |
| Entity Type | Individual |
| Full Name | LISA GAYE INGRAM |
| Credential | MSN, APRN, FNP |
| Practice Address |
801 W Gordon St Thomaston GA 30286-3426 |
| Mailing Address |
Po Box 1059 Thomaston GA 30286-0027 |
| Practice Telephone | 7066478111 |
| Practice Fax Number | 7066463153 |
| Mailing Telephone | 7066478111 |
| Mailing Fax Number | 7066463153 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN062064 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841217650 | Lisa Dapkis Ingram | Family Medicine | 9998 N. Dransfeldt Rd., Parker, CO 80134 | 2006-07-16 |
| 1447411681 | Lisa Ingram | Nurse's Aide | 180 Boyden Ave, Maplewood, NJ 07040-2480 | 2008-06-20 |
| 1326144122 | Lisa Ingram | Physical Therapy Assistant | 727 Stone Ave, Talladega, AL 35160-2218 | 2006-09-16 |
| Street Address |
801 W GORDON ST |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376630 | Upson County Hospital Inc | Psychiatry & Neurology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-06-16 |
| 1205451275 | Felicia Annette Smith | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-06-15 |
| 1699337527 | Jessica Evans Strickland | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-07-01 |
| 1750855417 | Brantley Lynn Standard | Family Medicine | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-01-16 |
| 1891296620 | Hightower Physician Services, PC | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-27 |
| 1790285815 | Hightower Emergency Group, PC | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-15 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| 1649708090 | Jesse Edward Rogers IIi | Physician Assistant | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-05-30 |
| 1083064539 | Rachael L Sweeney | Registered Nurse | 801 W Gordon St, Thomaston, GA 30286-3426 | 2016-06-15 |
| 1700278629 | Upson County Hospital Inc | Pharmacy | 801 W Gordon St, Thomaston, GA 30286-3426 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451275 | Felicia Annette Smith | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-06-15 |
| 1881229045 | Erica Denise Ferrell | Nurse Practitioner | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2020-03-09 |
| 1346885381 | Diana Lynn Kreismanis | Nurse Practitioner | 107 Jackson Ave, Thomaston, GA 30286-3481 | 2019-11-13 |
| 1366933558 | Shauna Johnson | Nurse Practitioner | 713 Andrews Dr, Thomaston, GA 30286-4524 | 2018-05-23 |
| 1265929533 | Desiree Lynn Lavery | Nurse Practitioner | 205 S Main St, Thomaston, CT 06787-1740 | 2018-04-22 |
| 1891296620 | Hightower Physician Services, PC | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-27 |
| 1043594369 | Tammie Ann Williams | Nurse Practitioner | 202 Cherokee Rd, Thomaston, GA 30286-3402 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841186 | Cynthia Marie Benjamin Bates | Nurse Practitioner | 2746 Willis Foreman Rd, Hephzibah, GA 30815-6935 | 2020-11-06 |
| 1841891199 | Gloria Oduro | Nurse Practitioner | 983 Bentley Estates Dr, Dacula, GA 30019-7795 | 2020-11-03 |
| 1689274094 | Shundria Brown | Nurse Practitioner | 2122 Ellwyn Dr, Chamblee, GA 30341-1520 | 2020-10-27 |
| 1629677455 | Amy Lynn Patterson | Nurse Practitioner | 254 Senna St, Marietta, GA 30064-4417 | 2020-10-22 |
| 1538768965 | Tabitha Ford | Nurse Practitioner | 110 Shorter St Lot 9, Ty Ty, GA 31795-3179 | 2020-10-16 |
| 1902404320 | Shanelle Lynette Raiford | Nurse Practitioner | 2028 Hidden Meadow Ln, Stone Mountain, GA 30088-4448 | 2020-10-16 |
| 1760089072 | Diana Maresi Bulimu | Nurse Practitioner | 6050 Peachtree Pkwy # 240-178, Norcross, GA 30092-3336 | 2020-10-08 |
| 1760089692 | Natalie Xiomara Leak | Nurse Practitioner | 4855 Chesterfield Ct, Suwanee, GA 30024-1350 | 2020-10-05 |
| 1548877723 | Camille Watson-clarke | Nurse Practitioner | 3650 Steve Reynolds Blvd Ste 316, Duluth, GA 30096-4506 | 2020-09-30 |
| 1801403654 | Jacqueline Richart | Nurse Practitioner | 6300 Hospital Pkwy Ste 260, Johns Creek, GA 30097-1829 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LISA GAYE INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.