MISS LISA MULLIS (NPI# 1891832556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891832556 |
| Entity Type | Individual |
| Full Name | MISS LISA MULLIS |
| Credential | NP |
| Practice Address |
601 S 8th St Er Dept Griffin GA 30224-4213 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 7702282721 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN155767 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 S 8TH ST ER DEPT |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30224-4213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972585446 | Onwura Michael Obiekwe | Family Medicine | 601 S 8th St, Griffin, GA 30224-4213 | 2005-11-18 |
| 1629690730 | Alexander Herbert Bland | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2020-05-12 |
| 1235769225 | Brittany Leigh Hilley | Nurse Practitioner | 601 S 8th St, Griffin, GA 30224-4213 | 2020-01-19 |
| 1861035677 | Ashley Cowan | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-10-24 |
| 1669020566 | Nour Abuzaidieh | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-04 |
| 1932757929 | Richard Grantphil Reid | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-09-03 |
| 1487202628 | Valerie Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-30 |
| 1124676440 | Jennifer Brock Smith | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-29 |
| 1790333284 | Diane Marie Brown | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-28 |
| 1669029591 | Virginia Mathis | Pharmacist | 601 S 8th St, Griffin, GA 30224-4213 | 2019-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346888971 | Latamika Renee Williams | Counselor | 1710 Ga-16 West, #6, Griffin, GA 30224 | 2019-12-13 |
| 1063062651 | Dominique S Paul-thompson | Contractor | 112 Deercreek Parkway, Griffin, GA 30224 | 2019-09-16 |
| 1497303531 | Xiaohui Zhang Brotzge | Physician Assistant | 601 S 8th Street, Griffin, GA 30224 | 2019-09-02 |
| 1548812282 | Andrew Dennis Nesmith | Registered Nurse | 601 South 8th St, Emergency Room, Griffin, GA 30224 | 2019-07-12 |
| 1073009122 | Alicia Skye Ledford | Nurse Practitioner | 619 S 8th St., Suite 200, Griffin, GA 30224 | 2018-07-02 |
| 1649787102 | Judith Fuajong Ngulefac | Nurse Practitioner | 1705 Williamson Rd, Griffin, GA 30224 | 2018-01-05 |
| 1699297077 | Amanda Norman | Speech-Language Pathologist | 106 Garnet Ln, Griffin, GA 30224 | 2017-07-07 |
| 1306214655 | Ruchi P Gandhi | Optometrist | 646 8th Street, Griffin, GA 30224 | 2015-09-03 |
| 1528473881 | Nnenna Ezeilo | Otolaryngology | 619 S 8th St Ste 304, Griffin, GA 30224 | 2014-06-25 |
| 1437436094 | C. B. Reddy Md PC | Preferred Provider Organization | 610 S 8th Street, Suite F, Griffin, GA 30224 | 2011-11-10 |
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| 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 |
|---|---|---|---|---|
| 1639580780 | Marla C Green | Nurse Practitioner | 747 S 8th St, Suite C, Griffin, GA 30224-4884 | 2014-05-12 |
| 1629243480 | Hannah Rae Cecil | Nurse Practitioner | 315 S 12th St, Griffin, GA 30224-4111 | 2008-04-23 |
| 1801839600 | Anita Pryor | Nurse Practitioner | 327 S. 9th Street, Griffin, GA 30224-4111 | 2006-06-13 |
| 1154309193 | Anne Marie Happe | Nurse Practitioner | 747 S 8th St Ste C, Griffin, GA 30224-4884 | 2006-01-09 |
| 1649274564 | Martha Lynnell Mccormack | Nurse Practitioner | 1501 Kalamazoo Dr Ste B, Griffin, GA 30224-3998 | 2005-06-09 |
| 1457836892 | Rachel Atkins | Nurse Practitioner | 1657 N Expressway, Griffin, GA 30223-1276 | 2018-10-02 |
| 1396250890 | Dalton James Skipper | Nurse Practitioner | 415 Airport Rd, Griffin, GA 30224-4834 | 2017-12-06 |
| 1295247401 | Jennifer Lee Azelton | Nurse Practitioner | 226 E College St Ste B, Griffin, GA 30224 | 2017-10-27 |
| 1508222993 | Rosetta Goodson-redmond | Nurse Practitioner | 747 South 8th Street, Suite C, Griffin, GA 30224-4880 | 2016-01-14 |
| 1548676638 | Rebecca Mcdaniel | Nurse Practitioner | 1657 N Expressway, Griffin, GA 30223-1276 | 2014-07-09 |
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| 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.