MEDICARE: MRS. LISA MACOY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN134284 NP	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538326707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LISA MACOY NP

Provider Business Mailing Address
First Line	:	4000 SHAKERAG HL
Second Line	:	SUITE 201
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4047
Country	:	US
Telephone Number	:	770-486-7111
Fax Number	:	770-486-7131

Provider Business Practice Location Address
First Line	:	4000 SHAKERAG HL
Second Line	:	SUITE 201
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-4047
Country	:	US
Telephone Number	:	770-486-7111
Fax Number	:	770-486-7131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	02/21/2012

Similar Medicare Providers

1093761884 — JERRY M. ROBERTS M.D.
Practice Location Address:

4000 SHAKERAG HL , SUITE 201
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-486-7111
Practice Fax: 770-486-7131

1568470235 — NICOLE S KEARNEY M.D.
Practice Location Address:

4000 SHAKERAG HL STE 201
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-486-7111
Practice Fax:

1346346871 — DR. ERINN RENEE HARRIS-JAMES MD
Practice Location Address:

4000 SHAKERAG HL STE 302
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-954-5010
Practice Fax: 678-519-4153

1528153723 — DR. MICHAEL E. OBENSHAIN MD
Practice Location Address:

4000 SHAKERAG HL
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-486-7100
Practice Fax:

1598850703 — DR. HARRY SNAPPERMAN M.D.
Practice Location Address:

4000 SHAKERAG HL
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-486-7070
Practice Fax:

1326373820 — JACQUELYN NICOLE MCDOWELL CPNP
Practice Location Address:

4000 SHAKERAG HL , SUITE 201
PEACHTREE CITY, GA
30269-4047

Practice Phone: 770-486-7111
Practice Fax: 770-486-7131

Directions to “ MRS. LISA MACOY NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.