LISA BARTLOW – Surgical Physician Assistant, NPI 1053776732

LISA BARTLOW is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. The NPI Number for LISA BARTLOW is 1053776732

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA BARTLOW
NPI
1053776732
Phone
(706) 549-8306
Address
195 KING AVE
Enumeration Date
22 December 2015
Last Update Date
22 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065498306
Graduation Year
2015 (11 years ago)
PAC ID
5496050411
Group Practice PAC ID
2668463290
Professional Enrollment ID
I20160229001354
Address ID
GA306777314WA1357XCONN301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for LISA BARTLOW

  • 195 KING AVE

    ATHENS, GA 306066736

    Phone: (706) 549-8306

    Fax: (706) 549-4099

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,168.

Total Amount is formed as General ($1,168) + Research ($0) + Ownership ($0) = $1,168.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Organogenesis Inc. ($575).

Total Amount

$1,168

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-02-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160229001354IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30606)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668463290View full group profile
NameSpecialtyState
-GA
Vascular SurgeryMA
Physician AssistantGA
General SurgerySC
Physician AssistantTN
Vascular Surgery, General SurgeryGA
General Surgery, Vascular SurgeryGA
Physician AssistantGA
Physician AssistantGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

What federal number belongs to LISA BARTLOW?
The federal identifier for LISA BARTLOW is NPI 1053776732.
Is LISA BARTLOW currently active in the NPI registry?
CMS-published data lists LISA BARTLOW as an active registrant.
Can you summarize LISA BARTLOW's specialty in plain language?
Clinically, the directory lists LISA BARTLOW with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LISA BARTLOW's primary listing?
We display Athens, Georgia because that is what the record indicates for LISA BARTLOW.
Is LISA BARTLOW a real provider?
This page reflects official NPPES data for NPI 1053776732. Always confirm identity and privileges with the practice and licensing boards.

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