1. Home
  2. Directory
  3. Georgia
  4. Kennesaw
  5. Nurse Practitioner
  6. NPI Profile

LISA VIVIENNE POLING NP
NPI 1003050576
Nurse Practitioner - Family in Kennesaw, GA

Active since April 28, 2009PECOS Enrolled
1000 CHASTAIN RD NW, KENNESAW, GA 30144(678) 797-2844(678) 797-2827 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Vivienne Poling Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA VIVIENNE POLING NP (NPI 1003050576) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN067035NP) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003050576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA VIVIENNE POLINGCredential: NP
Location Address1000 CHASTAIN RD NWKennesaw, GA 30144-5588
Mailing Address1000 Chastain Rd NwKennesaw, GA 30144-5588 · (678) 797-2844 · Fax (678) 797-2827
Phone(678) 797-2844
Fax(678) 797-2827
Sole ProprietorNo
Enumeration DateApril 28, 2009
Last NPPES UpdateDecember 12, 2016
✔ NPI 1003050576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN067035NP
1000 CHASTAIN RD NW, Kennesaw, GA 30144
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa Vivienne Melnick

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Vivienne Poling Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA SCHLAGETER STADALIUS APRN
Nurse Practitioner (Women's Health)
1000 CHASTAIN RD NW, 52
KENNESAW, GA 30144
Cobb County (770) 423-6642
KAYLA FOSTER
Student in an Organized Health Care Education/Training Program
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6630
MISS LISA MARIE SCHULTE ATC/LAT
Internal Medicine (Sports Medicine)
1000 CHASTAIN RD NW, MAILBOX 0201
KENNESAW, GA 30144
Cobb County (770) 423-6487
HIROKI KARIYA ATC, NREMT-B
Specialist/Technologist (Athletic Trainer)
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (678) 797-2291
KENNESAW STATE UNIVERSITY
Clinic/Center (Student Health)
1000 CHASTAIN RD NW, MD5200 HOUSE 52
KENNESAW, GA 30144
Cobb County (770) 423-6644
ANNE NICHOLS NURSE PRACTITIONER
Nurse Practitioner (Family)
1000 CHASTAIN RD NW, MAILSTOP 5200
KENNESAW, GA 30144
Cobb County (770) 423-6642
JASMINE MAXWELL FNP-S
Registered Nurse
1000 CHASTAIN RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6000
GWEN HATLEY WHITING APRN MS BC
Student in an Organized Health Care Education/Training Program
1000 CHASTAIN RD NW, #5200 HOUSE #52
KENNESAW, GA 30144
Cobb County (770) 423-6644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Poling's NPI number?

The NPI number for Lisa Poling is 1003050576. It was assigned to this individual provider in the NPPES registry on April 28, 2009. The provider is also known as Lisa Vivienne Melnick.

Where is Lisa Poling located?

Lisa Poling practices at 1000 Chastain Rd NW, Kennesaw, GA 30144. The listed phone number is (678) 797-2844.

What is Lisa Poling's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Poling enrolled in Medicare?

Yes. Lisa Poling is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Poling was last updated on December 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.