MRS. LISA MICHELLE MCKINNON CPNP
NPI 1497213045
Nurse Practitioner in Atlanta, GA

Q: What is Lisa Mckinnon's NPI number?

The NPI number for Lisa Mckinnon is 1497213045. It was assigned to this individual provider in the NPPES registry on March 2, 2019.

Q: What is Lisa Mckinnon'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 Mckinnon was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 02, 2019PECOS Enrolled

2174 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-9344(404) 785-3489 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Mar 21, 2023, Mar 2, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Lisa Michelle Mckinnon Cpnp NPPES

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

MRS. LISA MICHELLE MCKINNON CPNP (NPI 1497213045) is an individual nurse practitioner in Atlanta, Georgia, licensed in Georgia (1497213045) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497213045

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. LISA MICHELLE MCKINNONCredential: CPNP

Location Address2174 N DRUID HILLS RD NEAtlanta, GA 30329-3102

Mailing Address2174 N Druid Hills Rd NeBrookhaven, GA 30329-3102 · (404) 784-0242 · Fax (404) 785-3489

Phone(404) 785-9344

Fax(404) 785-3489

Sole ProprietorYes

Enumeration DateMarch 2, 2019

Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1497213045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · 1497213045

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.

Also ListedPediatricsTaxonomy 208000000X · License RN223686 (GA)

2174 N DRUID HILLS RD NE, Atlanta, GA 30329

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Michelle Mckinnon Cpnp 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 30329 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

JACOB A HUMPHREY MD

Pediatrics (Pediatric Nephrology)