MRS. LUCILLE TRAVIS NP
NPI 1093206674
Nurse Practitioner - Primary Care in Hiram, GA
About Mrs. Lucille Travis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LUCILLE TRAVIS NP (NPI 1093206674) is an individual primary care provider in Hiram, Georgia, licensed in Georgia (RN195568) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Lucille Travis Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Lucille Travis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
Atlanta, GA 30339
- Reassigned Medicare billing, Georgia enrollment
- 28 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 clinicians in this Medicare group
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 30141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIRAM, GA 30141
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 Lucille Travis's NPI number?
The NPI number for Lucille Travis is 1093206674. It was assigned to this individual provider in the NPPES registry on May 19, 2018.
Where is Lucille Travis located?
Lucille Travis practices at 4095 Atlanta Hwy, Hiram, GA 30141. The listed phone number is (404) 488-9521.
What is Lucille Travis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lucille Travis enrolled in Medicare?
Yes. Lucille Travis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lucille Travis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucille Travis reassigns Medicare benefits to 3 organizations: Kingdom Healthcare Services, LLC (Hiram, GA), Care At Home Medical Practice PC (Atlanta, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Lucille Travis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lucille Travis accept?
Health plans from CareSource (Common Ground Healthcare) and Oscar Health list Lucille Travis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lucille Travis was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Lucille Travis, NP · NPI 1093206674
Primary Care physician in Hiram, Georgia. Individual provider, active in the CMS NPPES registry since May 19, 2018.
## Identity
- **NPI:** 1093206674 (Entity type: Individual)
- **Enumerated:** May 19, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN195568 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4095 ATLANTA HWY, Hiram, GA 30141-1854
- **Phone:** (404) 488-9521 · **Fax:** (404) 836-8030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kingdom Healthcare Services, LLC (NPI 1750913349, Hiram, GA); Care At Home Medical Practice PC (NPI 1699552836, Atlanta, GA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093206674) · Data from the CMS NPPES public registry.