Sallie Jayne Lisle, ACAG DNP | |
1199 Prince Ave, Athens, GA 30606-2797 | |
(706) 546-7646 | |
Not Available |
Full Name | Sallie Jayne Lisle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1199 Prince Ave, Athens, 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 |
---|---|---|---|
1558810788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | RN085783 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital Midtown | Atlanta, GA | Hospital |
Emory Johns Creek Hospital | Johns creek, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Piedmont Athens Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967 |
Entity Name | Piedmont Athens Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273 |
Mailing Address | Practice Location Address |
---|---|
Sallie Jayne Lisle, ACAG DNP 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-6634 | Sallie Jayne Lisle, ACAG DNP 1199 Prince Ave, Athens, GA 30606-2797 Ph: (706) 546-7646 |
Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053 | |
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489 | |
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673 | |
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637 | |
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 | |
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976 |