LISA GAYE INGRAM (MSN, APRN, FNP) – Nurse Practitioner, NPI 1104456235
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for LISA GAYE INGRAM (MSN, APRN, FNP)
PO BOX 1059
THOMASTON, GA 302860027
Phone: (706) 647-8111
Fax: (706) 646-3153
Type: Mailing
801 W GORDON ST
THOMASTON, GA 302863426
Phone: (706) 647-8111
Fax: (706) 646-3153
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $1,958.
Total Amount is formed as General ($1,958) + Research ($0) + Ownership ($0) = $1,958.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Novo Nordisk Inc ($368).
Total Amount
$1,958
General + Research + Ownership
Payments
126
Total payment records
General Amount
$1,958
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $368 |
| Lilly USA, LLC | $353 |
| PFIZER INC. | $183 |
| Otsuka America Pharmaceutical, Inc. | $155 |
| ABBVIE INC. | $144 |
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: 2020-03-14
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 |
|---|---|---|---|---|
| I20200314000001 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 64 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 35 | 35 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 21 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 20 | $0 |
Insurance plans in this area (ZIP 30286)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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