MRS. LISA MARIE ROSE-CANTRELL FNP
NPI 1114053345
Nurse Practitioner - Family in Lithonia, GA

Q: What is Lisa Rose-cantrell's NPI number?

The NPI number for Lisa Rose-cantrell is 1114053345. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Q: What is Lisa Rose-cantrell's specialty?

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

Active since February 23, 2007PECOS Enrolled

5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER, LITHONIA, GA 30058(770) 322-3216(770) 938-1759 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mrs. Lisa Marie Rose-cantrell Fnp NPPES

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

MRS. LISA MARIE ROSE-CANTRELL FNP (NPI 1114053345) is an individual family provider in Lithonia, Georgia, licensed in Georgia (RN190406NP) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114053345

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA MARIE ROSE-CANTRELLCredential: FNP

Location Address5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTERLithonia, GA 30058

Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070 · Fax (770) 938-1759

Phone(770) 322-3216

Fax(770) 938-1759

Sole ProprietorNo

Enumeration DateFebruary 23, 2007

Last NPPES UpdateFebruary 9, 2022

NPPES CertifiedFebruary 9, 2022

✔ NPI 1114053345 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 · RN190406NP

5440 HILLANDALE DRIVE, Lithonia, GA 30058

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Marie Rose-cantrell Fnp 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 Reassignments

Medicare enrollment records show Lisa Rose-cantrell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vision Medical Consulting, P.C.

10 mi

Family Medicine

1990 LAKESIDE PKWY, SUITE 170
Tucker, GA 30084

Reassigned Medicare billing, Georgia enrollment
60 clinicians in this Medicare group

NPI 1073562922 (770) 938-1757

The Southeast Permanente Medical Group

16 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

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 30058 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 12

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

RONALD C BOOKHART MD

Internal Medicine

5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058

Dekalb County (770) 322-3211

CHRISTINA MARIE YADAO M.D.

Pediatrics

5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL OFFICE
LITHONIA, GA 30058

Dekalb County (770) 322-2712

MRS. CHINETA RENA EURE-MILLER MD, MPH

Obstetrics & Gynecology

5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058

Dekalb County (770) 322-2716

RAMONA S STYLES-BURROWS MD

Internal Medicine

5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058

Dekalb County (770) 322-3211

LAQUAY JONES CNP

Internal Medicine

5440 HILLANDALE DRIVE, INTERNAL MEDICINE HEALTH CARE TEAM B
LITHONIA, GA 30058

Dekalb County (770) 322-3211

DR. SANDRA DIANE MARYMAN MD

Family Medicine

5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLLA MEDICINE CENTER
LITHONIA, GA 30058

Dekalb County (770) 322-3216

ANN M WEATHERSBY CNM

Obstetrics & Gynecology

5440 HILLANDALE DRIVE, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
LITHONIA, GA 30058

Dekalb County (770) 322-2716

PAULA M JACOB-FOX MD

Family Medicine

5440 HILLANDALE DRIVE, KAISER PERMANENTE PANOLA MEDICAL CENTER
LITHONIA, GA 30058

Dekalb County (770) 322-2777

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 Rose-cantrell's NPI number?

The NPI number for Lisa Rose-cantrell is 1114053345. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Lisa Rose-cantrell located?

Lisa Rose-cantrell practices at 5440 Hillandale Drive Kaiser Permanente Panola Medical Center, Lithonia, GA 30058. The listed phone number is (770) 322-3216.

What is Lisa Rose-cantrell's specialty?

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

Is Lisa Rose-cantrell enrolled in Medicare?

Yes. Lisa Rose-cantrell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Rose-cantrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rose-cantrell reassigns Medicare benefits to 2 organizations: Vision Medical Consulting, P.C. (Tucker, GA) and The Southeast Permanente Medical Group (Atlanta, GA). 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 Lisa Rose-cantrell'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 Rose-cantrell was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.