| Lisa D Phillips, FNP-BC | |
|
1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 | |
| (706) 226-3434 | |
| (706) 226-4820 |
| Full Name | Lisa D Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1436 Broadrick Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275881823 | NPI | - | NPPES |
| 003164332A | Medicaid | GA | |
| 03279387 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN16722 (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | RN247137 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Health Partners Foundation, Inc | 8022919570 | 298 |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| Entity Name | Cleveland Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457350951 PECOS PAC ID: 0446164404 Enrollment ID: O20040827000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D Phillips, FNP-BC 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 Ph: (706) 226-3434 | Lisa D Phillips, FNP-BC 1436 Broadrick Dr, Suite B, Dalton, GA 30720-3009 Ph: (706) 226-3434 |
Mrs. Jessica Sanders, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126 | |
Mrs. Katie Louise Wooten, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720 Phone: 706-278-1622 Fax: 706-272-6445 | |
Karen Lolley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721 Phone: 706-229-9709 Fax: 706-229-9779 | |
Joy Bernice Whaley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Professional Blvd, Dalton, GA 30720 Phone: 706-226-2621 Fax: 706-281-2325 | |
Mrs. Kelli Michelle Welch, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633 | |
Autumn Denise Bartenfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126 | |
Rod Lee Lewis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 200, Dalton, GA 30720 Phone: 706-226-9355 Fax: 706-226-9380 |