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

Q: 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.

Q: What is Lisa Poling's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Poling was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 25, 2026.

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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

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Other Names 1

Former Name (1)Lisa Vivienne Melnick

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Poling reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amelia Urgent Care LLC

296 mi

Urgent Care

96279 BRADY POINT ROAD, SUITE A
Fernandina Beach, FL 32034

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1841366812 (904) 321-0088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Lisa Poling's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Poling reassigns Medicare benefits to Amelia Urgent Care LLC (Fernandina Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Poling's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Poling was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.