LISA D GANTT ANP
NPI 1487636643
Nurse Practitioner in Greenville, SC

Q: What is Lisa Gantt's NPI number?

The NPI number for Lisa Gantt is 1487636643. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Q: What is Lisa Gantt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Gantt was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 15, 2005

200 PATEWOOD DR STE B200, GREENVILLE, SC 29615(864) 232-7338(864) 239-6645 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa D Gantt Anp NPPES

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

LISA D GANTT ANP (NPI 1487636643) is an individual nurse practitioner in Greenville, South Carolina, licensed in South Carolina (A764) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1487636643

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA D GANTTCredential: ANP

Location Address200 PATEWOOD DR STE B200Greenville, SC 29615-6321

Mailing AddressPo Box 8676Greenville, SC 29604-8676 · (864) 232-7338 · Fax (864) 239-6645

Phone(864) 232-7338

Fax(864) 239-6645

Sole ProprietorNo

Enumeration DateNovember 15, 2005

Last NPPES UpdateJanuary 31, 2014

✔ NPI 1487636643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · A764

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

200 PATEWOOD DR STE B200, Greenville, SC 29615

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Other Identifiers 4

Other1874SC · Medicare Ptan

MedicaidPA1845SC

OtherP01251001SC · Railroad Medicare

Medicare UPINP48077SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

46%48 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

60%58 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

2%51 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

71%21 patients3/55-star benchmark: 98%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

4%23 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

EMMANUEL ANDES FAJARDO MD

Internal Medicine