LISA M. WANNAMAKER D.O. – NPI #1912069451
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LISA WANNAMAKER is a physician located in EVANS, GA. NPPES has assigned the NPI number 1912069451 to LISA WANNAMAKER on December 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jun 04, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA WANNAMAKER below.

NPI Profile for
LISA M. WANNAMAKER

NPI Number
1912069451
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA M. WANNAMAKER
Credentials
D.O.
Primary location
4720 WASHINGTON RD
EVANS, GA 30809
Phone: (706) 774-7263 Fax:
5 Other location(s):
3486 Peach Orchard Rd Ste 100
Augusta, GA 30906-5215
Phone: (706) 828-8000
Fax: (706) 828-8001
4446 Washington Rd Ste 7
Evans, GA 30809-6361
Phone: (706) 650-3173
Fax: (706) 863-5233
447 N Belair Rd
Evans, GA 30809-3090
Phone: (706) 854-2180
Fax: (706) 854-2189
465 N Belair Rd Ste 2B
Evans, GA 30809-3190
Phone: (706) 774-7400
Fax: (706) 774-7590
925 Branch Ct
Grovetown, GA 30813-3325
Phone: (706) 396-3570
Fax: (706) 396-3590
Mailing address
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone: (706) 774-7263 Fax: (706) 774-7230
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
GA 55462

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.