Lisa Michaels (NPI# 1003816646, PAC ID# 7214903178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1003816646 |
| PAC ID by PECOS | 7214903178 |
| Professional Enrollment ID | I20160106001514 |
| Full Name | Lisa Michaels |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Address |
200 Crescent Ctr Pkwy Tucker GA 30084-7047 |
| Phone Number | 4043650966 |
| Gender | F |
| Credential | DPM |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6204829013 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110082 | SAINT JOSEPH'S HOSPITAL OF ATLANTA, INC |
| Address | Phone | Organization |
|---|---|---|
| 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 | 4043650966 | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Organization Legal Name | THE SOUTHEAST PERMANENTE MEDICAL GROUP |
| Physicians | 720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sapna Ashok Patel | Otolaryngology | The Southeast Permanente Medical Group | 2470 Mount Zion Pkwy, Bldg 200, Jonesboro, GA 30236-2500 |
| Gloria Eberechukwu Okoye | Nurse Practitioner | The Southeast Permanente Medical Group | 3640 Tramore Pointe Pkwy, Austell, GA 30106-6825 |
| Joan Mary Gopin | Hospitalist | The Southeast Permanente Medical Group | 2525 Cumberland Pkwy Se, Atlanta, GA 30339-3915 |
| Sandra Nicole Jackson-dent | Family Medicine | The Southeast Permanente Medical Group | 2240 Fountain Dr, Snellville, GA 30078-2919 |
| Emily K Deschler | Ophthalmology | The Southeast Permanente Medical Group | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
| Vicki L Yates | Certified Nurse Midwife (cnm) | The Southeast Permanente Medical Group | 6875 Douglas Blvd, Suite A, Douglasville, GA 30135-7155 |
| Seema Panduranga Kini | Dermatology | The Southeast Permanente Medical Group | 1435 Broadmoor Blvd, Buford, GA 30518-5408 |
| Modesta Tako | Family Medicine | The Southeast Permanente Medical Group | 1175 Cascade Pkwy Sw, Atlanta, GA 30311-3090 |
| Samir Patel | Internal Medicine | The Southeast Permanente Medical Group | 205 Newnan Crossing Byp, Newnan, GA 30265-1063 |
| Carolyn Commodore-turner | Clinical Social Worker | The Southeast Permanente Medical Group | 1745 Peachtree St Ne, Suite U, Atlanta, GA 30309-2479 |
| Street Address |
200 CRESCENT CTR PKWY |
| City | TUCKER |
| State | GA |
| Zip | 30084-7047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianna Freudzon | Dermatology | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Stanley J Jagielski | Obstetrics/gynecology | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Meryl P Stein | Podiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Keith R Bruno | Dermatology | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Sanders Mompremier | Psychiatry | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Montinique B Pierre | Clinical Social Worker | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Sohaib A Khalid | Family Medicine | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Raina M Phillips | Internal Medicine | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Malita M Reese | Nurse Practitioner | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Vajreshwari Shivaprakash | Nephrology | The Southeast Permanente Medical Group | 200 Crescent Ctr Pkwy, Tucker, GA 30084-7047 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert W Marsh | Family Practice | 3163 Tucker Norcorss Rd, Tucker, GA 30084-2124 | |
| Asha Jayendrakumar Shah | Internal Medicine | Gwinnett Clinic,ltd | 4870 Lawrenceville Hwy, Tucker, GA 30084-2952 |
| Syamala Devi Erramilli | Internal Medicine | 2926 Mountain Industrial Blvd, Tucker, GA 30084-3012 | |
| Rose-mary Mbibong-mabo | Podiatry | 2892 Mountain Industrial Blvd, Tucker, GA 30084-3014 | |
| Minh C Ta | Optometry | 4375 Lawrenceville Hwy Vison, Tucker, GA 30084-3702 | |
| Paul W Schenk | Psychologist, Clinical | 3589 Habersham At Northlake, Tucker, GA 30084-4001 | |
| Paul J Glass | Ophthalmology | 2256 Northlake Pkwy, Suite 205, Tucker, GA 30084-4004 | |
| Sondi S Moore-waters | Family Medicine | 2260 Northlake Pkwy, Suite 300, Tucker, GA 30084-4006 | |
| James Davis | Oral Surgery | 3574 Habersham At Northlake, Tucker, GA 30084-4009 | |
| Joel E Margolies | Chiropractic | 4910 Lavista Rd, Tucker, GA 30084-4403 | |
| Find all physicians in zip 30084 | |||
| City | TUCKER |
| Zip Code | 30084 |
| Specialty | PODIATRY |
| City + Specialty | TUCKER + PODIATRY |
Please comment or provide details below to improve the information on Lisa Michaels.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.