LISA R STEWART (NP) – Adult Health Nurse Practitioner, NPI 1720401904

LISA R STEWART (NP) is a healthcare provider. based in Greensboro, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN150495 (GA). The NPI Number for LISA R STEWART (NP) is 1720401904

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA R STEWART (NP)
NPI
1720401904
Phone
(706) 999-0243
Address
1110 COMMERCE DR STE 108
Enumeration Date
24 January 2014
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063101859
Graduation Year
2013 (13 years ago)
PAC ID
9234549395
Group Practice PAC ID
7113098393
Professional Enrollment ID
I20201102001363
Address ID
GA306427444GR1110XDRXX301
Telehealth
Yes

Contacts

Secure Messaging
lsavage2022875@direct.trinity-health.org
Secure Messaging
middlegeorgiamedical@605.direct.myezyaccess.com
Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness95
Years active:12State licenses:1Other names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for LISA R STEWART (NP)

  • 1110 COMMERCE DR STE 108

    GREENSBORO, GA 306427444

    Phone: (706) 999-0243

    Fax: (706) 999-0245

    Type: Location

  • PO BOX 48089

    ATHENS, GA 306048089

    Phone: (706) 389-3740

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Novo Nordisk Inc ($45).

Total Amount

$92

General + Research + Ownership

Payments

5

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

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: 2020-11-02

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
I20201102001363INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg38030$0
36415Insertion of needle into vein for collection of blood sample376248$0
99214Established patient office or other outpatient visit, 30-39 minutes375260$0
99213Established patient office or other outpatient visit, 20-29 minutes304226$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit193193$0
View full utilization report →

Insurance plans in this area (ZIP 30642)

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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: 7113098393View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Nurse PractitionerGA
Internal MedicineNC
-GA
Cardiovascular Disease (Cardiology)GA
-GA
Internal MedicineGA
-GA
N E U R O S U R G E R YGA
-GA

Reviews

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Frequently asked questions

Does LISA R STEWART (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA R STEWART (NP) uses 1720401904.
Does the file indicate LISA R STEWART (NP) is practicing under active NPI?
Directory data currently reports LISA R STEWART (NP) as active.
What is LISA R STEWART (NP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for LISA R STEWART (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for LISA R STEWART (NP)?
LISA R STEWART (NP)'s geographic hint is Greensboro, Georgia in our summary view.
Why does LISA R STEWART (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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