MRS. LISA YVONNE BRADSHAW-SMALL APRN, BC
NPI 1043330301
Nurse Practitioner - Family in Stone Mountain, GA

Q: What is Lisa Bradshaw-small's NPI number?

The NPI number for Lisa Bradshaw-small is 1043330301. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Q: What is Lisa Bradshaw-small's specialty?

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

Active since March 30, 2007

6269 GREENOCK DR, STONE MOUNTAIN, GA 30087(404) 819-9665(678) 825-6030 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Lisa Yvonne Bradshaw-small Aprn, Bc NPPES

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

MRS. LISA YVONNE BRADSHAW-SMALL APRN, BC (NPI 1043330301) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN141141) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1043330301

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA YVONNE BRADSHAW-SMALLCredential: APRN, BC

Location Address6269 GREENOCK DRStone Mountain, GA 30087-6081

Mailing Address6269 Greenock DrStone Mountain, GA 30087-6081 · (404) 819-9665 · Fax (678) 825-6030

Phone(404) 819-9665

Fax(678) 825-6030

Sole ProprietorYes

Enumeration DateMarch 30, 2007

Last NPPES UpdateApril 5, 2012

✔ NPI 1043330301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN141141

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN141141 (GA)

6269 GREENOCK DR, Stone Mountain, GA 30087

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Other Providers at the Same Location NPPES

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

PREMIER PERSONAL HEALTH SERVICES, LLC

Nursing Care

6269 GREENOCK DR
STONE MOUNTAIN, GA 30087

Dekalb County (866) 446-4547

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 Bradshaw-small's NPI number?

The NPI number for Lisa Bradshaw-small is 1043330301. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Lisa Bradshaw-small located?

Lisa Bradshaw-small practices at 6269 Greenock Dr, Stone Mountain, GA 30087. The listed phone number is (404) 819-9665.

What is Lisa Bradshaw-small's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Bradshaw-small was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.