Lisa Wannamaker (NPI# 1912069451, PAC ID# 9335412170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912069451 |
| PAC ID by PECOS | 9335412170 |
| Professional Enrollment ID | I20170830001915 |
| Full Name | Lisa Wannamaker |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Address |
4446 Washington Eroad Suite 7 Evans GA 30809 |
| Phone Number | 7067745995 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 2567640915 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110028 | UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4446 Washington Eroad, Suite 7, Evans, GA 30809 | 7067745995 | UNIVERSITY MEDICAL GROUP LLC |
| 447 N Belair Rd, Suite 104, Evans, GA 30809-3091 | 7068542180 | UNIVERSITY MEDICAL GROUP LLC |
| Organization Legal Name | UNIVERSITY MEDICAL GROUP LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Leigh Whitwell | Nurse Practitioner | University Medical Group LLC | 1100 W Lake Commons Dr, Martinez, GA 30907-7932 |
| Lindsey Meagher | Nurse Practitioner | University Medical Group LLC | 3121 Peach Orchard Rd, Suite 103, Augusta, GA 30906-3531 |
| Eman L Kaldas | Internal Medicine | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Jennifer Herbert | Family Medicine | University Medical Group LLC | 3851 Evans Locks Rd, Se 113, Martinez, GA 30907-4914 |
| Alison Powell | Nurse Practitioner | University Medical Group LLC | 309 W Ave, Umg Family Practice, North Augusta, SC 29841-3800 |
| Vanessa Bradish | Nurse Practitioner | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Daniel H Boone | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Christopher S Mcelroy | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Hannah Timmerman Cofer | Nurse Practitioner | University Medical Group LLC | 3486 Peach Orchard Rd, Suite 100, Augusta, GA 30906-5215 |
| Robert Winfred West | Internal Medicine | University Medical Group LLC | 465 N Belair Rd, 2b, Evans, GA 30809-3190 |
| Street Address |
4446 WASHINGTON EROAD SUITE 7 |
| City | EVANS |
| State | GA |
| Zip | 30809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gena Bonitatibus | Allergy/immunology | 4350 Towne Ctr Dr, Suite 1500, Evans, GA 30809 | |
| Eric J Larson | Chiropractic | 676 Mullins Colony Dr, Evans, GA 30809-0579 | |
| Jonathan William Rutledge | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Edward Austin Porubsky | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Ralph G Owen | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| William A Wells | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Vanitcha R Pintavorn | Allergy/immunology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Bari F Levens | Qualified Audiologist | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Robert T Deal | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| William Elliott Barfield Iii | Otolaryngology | Augusta Ent PC | 340 N Belair Rd, Evans, GA 30809-3000 |
| Find all physicians in zip 30809 | |||
| City | EVANS |
| Zip Code | 30809 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EVANS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lisa Wannamaker.
| 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.