LISA R ALLEN (APRN-BC) – Family Nurse Practitioner, NPI 1194709451

LISA R ALLEN (APRN-BC) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 085201 (GA). The NPI Number for LISA R ALLEN (APRN-BC) is 1194709451

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
LISA R ALLEN (APRN-BC)
NPI
1194709451
Phone
(404) 256-1311
Address
975 JOHNSON FERRY RD NE
Enumeration Date
1 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042561311
Graduation Year
1998 (28 years ago)
PAC ID
2365775335
Group Practice PAC ID
7618961590
Professional Enrollment ID
I20190605002698
Address ID
GA303421618AT975XXNERD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for LISA R ALLEN (APRN-BC)

  • Mirzabeigi Atlanta Plastic Surgery, 975, Johnson Ferry Road Northeast, Ridgeview Forest, Atlanta, Fulton County, Georgia, 30342, United States

    SUITE 500

    ATLANTA, GA 303421619

    Phone: (404) 256-1311

    Fax: (404) 705-2766

    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 8 Open Payments records for all available years, with a total value of $1,044.

Total Amount is formed as General ($1,044) + Research ($0) + Ownership ($0) = $1,044.

Last reported payment date: 2024-11-16 • Largest payer in this snapshot: ABBVIE INC. ($776).

Total Amount

$1,044

General + Research + Ownership

Payments

8

Total payment records

General Amount

$1,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-06-05

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
I20190605002698INurse PractitionerGATBD

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 30342)

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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: 7618961590View full group profile
NameSpecialtyState
-GA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA
Plastic And Reconstructive SurgeryGA

Reviews

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Frequently asked questions

Is LISA R ALLEN (APRN-BC) listed with a National Provider Identifier?
Yes — LISA R ALLEN (APRN-BC) has NPI 1194709451 on file in the registry.
Is LISA R ALLEN (APRN-BC) shown as active in public data?
Registry records indicate LISA R ALLEN (APRN-BC) maintains an active NPI.
What expertise is attributed to LISA R ALLEN (APRN-BC)?
LISA R ALLEN (APRN-BC)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is LISA R ALLEN (APRN-BC) registered?
Use Atlanta, Georgia as the headline location for LISA R ALLEN (APRN-BC) here.
Can I trust this NPI listing for LISA R ALLEN (APRN-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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