LISA GAIL RUDESEAL LPC
NPI 1154658474
Counselor - Professional in Macon, GA
About Lisa Gail Rudeseal Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA GAIL RUDESEAL LPC (NPI 1154658474) is an individual professional provider in Macon, Georgia, licensed in Georgia (002130) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 Gail Rudeseal Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31217
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 Rudeseal's NPI number?
The NPI number for Lisa Rudeseal is 1154658474. It was assigned to this individual provider in the NPPES registry on November 6, 2009.
Where is Lisa Rudeseal located?
Lisa Rudeseal practices at 175 Emery Hwy, Macon, GA 31217. The listed phone number is (478) 751-4446.
What is Lisa Rudeseal's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lisa Rudeseal enrolled in Medicare?
Yes. Lisa Rudeseal is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lisa Rudeseal was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lisa Gail Rudeseal, LPC · NPI 1154658474
Professional provider in Macon, Georgia. Individual provider, active in the CMS NPPES registry since November 6, 2009.
## Identity
- **NPI:** 1154658474 (Entity type: Individual)
- **Enumerated:** November 6, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 002130 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 EMERY HWY, Macon, GA 31217-3692
- **Phone:** (478) 751-4446 · **Fax:** (478) 751-4530
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** November 6, 2009
- **Other identifiers:** Other 002130 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154658474) · Data from the CMS NPPES public registry.