LISA GRANVILLE (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1306957964
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for LISA GRANVILLE (MD)
4449 MEANDERING WAY
FSU SENIORHEALTH AT WOK
TALLAHASSEE, FL 323085740
Phone: (850) 645-1543
Fax: (850) 645-0577
Type: Location
West Call Street, Tallahassee, Leon County, Florida, 32301, United States
SUITE 1121C
TALLAHASSEE, FL 323064300
Phone: (850) 645-9350
Fax: (850) 645-0577
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-04-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130424000460 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 47 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 55 | 32 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 39 | 21 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 38 | 25 | $0 |
Insurance plans in this area (ZIP 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| Family Practice, Geriatric Medicine | GA | |
| Family Practice | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| Family Practice | FL | |
| - | FL |
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