MRS. LISA SIMS (NP) – Nurse Practitioner, NPI 1235341017

MRS. LISA SIMS (NP) is a healthcare provider. based in Stockbridge, Georgia. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN1155250 (GA). The NPI Number for MRS. LISA SIMS (NP) is 1235341017

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA SIMS (NP)
NPI
1235341017
Phone
(770) 892-0273
Address
203 MEDICAL BLVD
Enumeration Date
4 May 2007
Last Update Date
14 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708920273
Graduation Year
2006 (20 years ago)
PAC ID
3072746965
Group Practice PAC ID
8729397617
Professional Enrollment ID
I20140430000171
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. LISA SIMS (NP)

  • 203, Medical Boulevard, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302817218

    Phone: (770) 892-0273

    Fax: (470) 878-1495

    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 7 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Spine Wave, Inc. ($112).

Total Amount

$248

General + Research + Ownership

Payments

7

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

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: 2014-04-30

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
I20140430000171INurse 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 30281)

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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: 8729397617View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineGA
Physician AssistantGA
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeME
-GA
Physical Medicine And Rehabilitation, Pain ManagementPA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. LISA SIMS (NP)'s NPI?
Yes. MRS. LISA SIMS (NP) is listed with NPI 1235341017 in the public NPI dataset.
Does the file indicate MRS. LISA SIMS (NP) is practicing under active NPI?
Directory data currently reports MRS. LISA SIMS (NP) as active.
What healthcare role does MRS. LISA SIMS (NP) hold?
Scheduling teams often label MRS. LISA SIMS (NP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LISA SIMS (NP) on a map?
Expect Stockbridge, Georgia as a primary anchor for MRS. LISA SIMS (NP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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