LISA LARAINE SOUTH NP
NPI 1275307472
Nurse Practitioner - Gerontology in Houston, TX

Active since November 08, 2023PECOS Enrolled
6720 BERTNER AVE, HOUSTON, TX 77030(832) 355-2666 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Sep 26, 2024, Nov 8, 2023 (3 updates tracked since 2023).

About Lisa Laraine South Np NPPES

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

LISA LARAINE SOUTH NP (NPI 1275307472) is an individual gerontology provider in Houston, Texas, licensed in Texas (1134088) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kenner.

NPPES Registry Identity

NPI1275307472
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA LARAINE SOUTHCredential: NP
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address9373 N Walker RdCleveland, TX 77328-5835 · (832) 797-9670
Sole ProprietorNo
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1275307472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 1134088
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 1134088 (TX)
6720 BERTNER AVE, Houston, TX 77030

Secondary Practice Location 1

Location 1180 W Esplanade AveKenner, LA 70065-2467 · Phone (504) 464-8506

Accepted Insurance

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 Laraine South Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 20

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

Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030

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 South's NPI number?

The NPI number for Lisa South is 1275307472. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Lisa South located?

Lisa South practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (832) 355-2666.

What is Lisa South's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa South enrolled in Medicare?

Yes. Lisa South is registered in the Medicare PECOS enrollment system.

What insurance does Lisa South accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Lisa South 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 Lisa South was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.