LISHAN BEKELE M.D.
NPI 1194913475
Family Medicine in Ellenwood, GA

Active since October 11, 2007
211 FAIRVIEW RD, ELLENWOOD, GA 30294(770) 507-4554(770) 507-6413 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lishan Bekele M.d. NPPES

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

LISHAN BEKELE M.D. (NPI 1194913475) is an individual family medicine provider in Ellenwood, Georgia, licensed in Georgia (55178) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1194913475
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISHAN BEKELECredential: M.D.
Location Address211 FAIRVIEW RDEllenwood, GA 30294-2721
Mailing Address211 Fairview RdEllenwood, GA 30294-2721 · (770) 507-4554 · Fax (770) 507-6413
Fax(770) 507-6413
Sole ProprietorNo
Enumeration DateOctober 11, 2007
Last NPPES UpdateMarch 9, 2009
NPI 1194913475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 55178
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

211 FAIRVIEW RD, Ellenwood, GA 30294

Other Identifiers 2

Medicare PIN511I080400GA
Medicaid694266528AGA

Other Providers at the Same Location NPPES 14

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

Family Medicine
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Physician Assistant
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Family Medicine
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Nurse Practitioner (Family)
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Physician Assistant
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Nurse Practitioner (Family)
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Pediatrics
211 FAIRVIEW RD
ELLENWOOD, GA 30294
Nurse Practitioner (Family)
211 FAIRVIEW RD
ELLENWOOD, GA 30294

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 Lishan Bekele's NPI number?

The NPI number for Lishan Bekele is 1194913475. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Lishan Bekele located?

Lishan Bekele practices at 211 Fairview Rd, Ellenwood, GA 30294. The listed phone number is (770) 507-4554.

What is Lishan Bekele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lishan Bekele was last updated on March 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.