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DR. LISA G MARIN DMD, MD
NPI 1578659967
Dentist - Oral and Maxillofacial Surgery in Augusta, GA

Active since October 05, 2006PECOS Enrolled
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-9744(706) 721-6778 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Lisa G Marin Dmd, Md NPPES

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

DR. LISA G MARIN DMD, MD (NPI 1578659967) is an individual oral and maxillofacial surgery provider in Augusta, Georgia, licensed in Georgia (DN010898) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578659967
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LISA G MARINCredential: DMD, MD
Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001
Mailing Address1430 John Wesley Gilbert DriveAugusta, GA 30912-0001 · (706) 721-9744 · Fax (706) 721-6778
Phone(706) 721-9744
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1578659967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · DN010898✔ Licensed in NY · 046876
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Lisa G Huddleston

Other Identifiers 1

Medicaid02530936NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa G Marin Dmd, Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Marin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Au Dental Associates
1.7 mi
Dentist
1430 JOHN WESLEY GILBERT DRIVE
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 20 clinicians in this Medicare group
NPI 1457541781 (706) 721-2371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

DR. GEOFFREY ALLEN THOMPSON DDS, MS
Dentist (Prosthodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
JOHN KENNETH HAWKINS CRNA, PHD
Nurse Anesthetist, Certified Registered
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. THEODORE D RAVENEL V DMD
Dentist (Endodontics)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
RYAN PATRICK MOONEYHAM DDS
Dentist (Oral and Maxillofacial Surgery)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-9744
DR. ELIZABETH CASTLEBERRY MILLER DDS
Dentist
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2441
JAYNA PATEL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DANIJELA LAZIC
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2371
DR. ROY A ROCKMAN DDS
Dentist (Pediatric Dentistry)
1430 JOHN WESLEY GILBERT DRIVE
AUGUSTA, GA 30912
Richmond County (706) 721-2716

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 Marin's NPI number?

The NPI number for Lisa Marin is 1578659967. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Dr. Lisa G Huddleston.

Where is Lisa Marin located?

Lisa Marin practices at 1430 John Wesley Gilbert Drive, Augusta, GA 30912. The listed phone number is (706) 721-9744.

What is Lisa Marin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lisa Marin enrolled in Medicare?

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

Which organization bills Medicare for Lisa Marin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marin reassigns Medicare benefits to Au Dental Associates (Augusta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Marin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Marin accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Lisa Marin 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 Marin was last updated on February 19, 2026. 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.