LISA LLANAS HAGBERG (MD) – Psychiatry Physician, NPI 1831139377

LISA LLANAS HAGBERG (MD) is a healthcare provider. based in Saint simons island, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 158615 (MA). The NPI Number for LISA LLANAS HAGBERG (MD) is 1831139377

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LISA LLANAS HAGBERG (MD)
NPI
1831139377
Phone
(508) 971-6500
Address
1704 FREDERICA RD APT 222
Enumeration Date
6 June 2006
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8333518255
Graduation Year
1997 (29 years ago)
PAC ID
3476467002
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20031118000059
Address ID
MA021103144BO265XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

832 PSYCHIATRY in GA

Provider Addresses for LISA LLANAS HAGBERG (MD)

  • 1704 FREDERICA RD APT 222

    SAINT SIMONS ISLAND, GA 315222551

    Phone: (508) 971-6500

    Type: Mailing

  • 600 COASTAL VILLAGE DR

    BRUNSWICK, GA 315201973

    Phone: (912) 554-8454

    Type: Location

  • Butler Hospital, 345, Blackstone Boulevard, Blackstone, Providence, Providence County, Rhode Island, 02906-4800, United States

    PROVIDENCE, RI 029064800

    Phone: (401) 455-6200

    Type: Mailing

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: 2026-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20031118000059IPsychiatryMATBD
I20050602000368IPsychiatryMETBD
I20221122001091IPsychiatryNYTBD
I20230202002184IPsychiatryCTTBD
I20260223002626IPsychiatryGATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8636$0
View full utilization report →

Insurance plans in this area (ZIP 31522)

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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: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Is LISA LLANAS HAGBERG (MD) listed with a National Provider Identifier?
Yes — LISA LLANAS HAGBERG (MD) has NPI 1831139377 on file in the registry.
Active or inactive — what applies to LISA LLANAS HAGBERG (MD)?
You should see LISA LLANAS HAGBERG (MD) as active in CMS-hosted NPPES data.
What area of care is associated with LISA LLANAS HAGBERG (MD)?
LISA LLANAS HAGBERG (MD)'s record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Georgia is LISA LLANAS HAGBERG (MD) registered?
Use Saint Simons Island, Georgia as the headline location for LISA LLANAS HAGBERG (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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