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DR. LISA SUE ROSOF M.D.
NPI 1194000794
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since October 14, 2011Opted out of Medicare · through Mar 2, 2028
675 SEMINOLE AVE NE, SUITE 110, ATLANTA, GA 30307(404) 817-0511 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Sue Rosof M.d. NPPES

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

DR. LISA SUE ROSOF M.D. (NPI 1194000794) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (44325) and active in the NPI registry since October 2011. She has opted out of Medicare through March 2, 2028.

NPPES Registry Identity

NPI1194000794
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LISA SUE ROSOFCredential: M.D.
Location Address675 SEMINOLE AVE NE, SUITE 110Atlanta, GA 30307-3408
Mailing Address675 Seminole Ave Ne, Suite 110Atlanta, GA 30307-3408 · (404) 817-0511
Phone(404) 817-0511
Sole ProprietorYes
Enumeration DateOctober 14, 2011
✔ NPI 1194000794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 44325
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
675 SEMINOLE AVE NE, Atlanta, GA 30307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Sue Rosof M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2022 through March 2, 2028.

Opt-Out Effective DateMarch 2, 2022
Opt-Out In Effect ThroughMarch 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

THE BIRDNEST FAMILY SERVICES, LLC
Social Worker (Clinical)
675 SEMINOLE AVE NE, UNIT T-03
ATLANTA, GA 30307
Fulton County (404) 290-0520
QIANA L. SIMMONS SLP
Speech-Language Pathologist
675 SEMINOLE AVE NE, SUITE T05
ATLANTA, GA 30307
Fulton County (404) 575-4000
TIFFANY D KELLEY MA, CCC-SLP
Speech-Language Pathologist
675 SEMINOLE AVE NE, SUITE T05
ATLANTA, GA 30307
Fulton County (404) 575-4000
SANDRA S WHITE CCC-SLP
Speech-Language Pathologist
675 SEMINOLE AVE NE, SUITE T05
ATLANTA, GA 30307
Fulton County (404) 575-4000
DR. SUSAN HOPKINS SUSAN HOPKINS
Chiropractor
675 SEMINOLE AVE NE, STE. T-05
ATLANTA, GA 30307
Fulton County (404) 745-9233
APPLIED HEALTH
Early Intervention Provider Agency
675 SEMINOLE AVE NE, SUITE 103
ATLANTA, GA 30307
Fulton County (404) 575-4000
LULILA CRAWFORD CCC-SLP
Speech-Language Pathologist
675 SEMINOLE AVE NE, SUITE T05
ATLANTA, GA 30307
Fulton County (404) 575-4000
QUIANNA CLEVELAND OTR
Occupational Therapist
675 SEMINOLE AVE NE, SUITE T05
ATLANTA, GA 30307
Fulton County (404) 575-4000

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 Rosof's NPI number?

The NPI number for Lisa Rosof is 1194000794. It was assigned to this individual provider in the NPPES registry on October 14, 2011.

Where is Lisa Rosof located?

Lisa Rosof practices at 675 Seminole Ave NE Suite 110, Atlanta, GA 30307. The listed phone number is (404) 817-0511.

What is Lisa Rosof's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lisa Rosof enrolled in Medicare?

No. Lisa Rosof has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Rosof was last updated on October 14, 2011. 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.