SALLIE JAYNE LISLE (ACAG DNP) – Acute Care Nurse Practitioner, NPI 1558810788
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
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Provider Addresses for SALLIE JAYNE LISLE (ACAG DNP)
Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States
GAINESVILLE, GA 305013715
Phone: (770) 219-6634
Fax: (770) 219-2923
Type: Mailing
Athens Regional Medical Center, 1199, Prince Avenue, Normaltown, Athens, Athens-Clarke County, Georgia, 30606, United States
ATHENS, GA 306062797
Phone: (706) 546-7646
Type: Location
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: 2016-10-25
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 |
|---|---|---|---|---|
| I20161025001032 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 88 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 16 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| N E U R O L O G Y | NY | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | GA | |
| Family Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | TX |
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