LISA C BUSHARDT MD
NPI 1669488979
Family Medicine in Hattiesburg, MS

Q: What is Lisa Bushardt's NPI number?

The NPI number for Lisa Bushardt is 1669488979. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Lisa Bushardt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Bushardt was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 31, 2006PECOS EnrolledAccepts Medicare Assignment

105 THORNHILL DR, HATTIESBURG, MS 39402(601) 261-3737(601) 261-3899 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2020, Aug 23, 2016 (2 updates tracked since 2016).

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About Lisa C Bushardt Md NPPES

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

LISA C BUSHARDT MD (NPI 1669488979) is an individual family medicine provider in Hattiesburg, Mississippi, licensed in Mississippi (12307) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1986).

NPPES Registry Identity

NPI1669488979

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLISA C BUSHARDTCredential: MD

Location Address105 THORNHILL DRHattiesburg, MS 39402-1548

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-3737 · Fax (601) 579-5240

Phone(601) 261-3737

Fax(601) 261-3899

Sole ProprietorNo

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1986

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 20202 updates tracked since enumeration

NPPES CertifiedJuly 8, 2020

✔ NPI 1669488979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MS · 12307

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.

105 THORNHILL DR, Hattiesburg, MS 39402

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Other Identifiers 4

Medicaid1419877LA

Other1558923MS · American Admin Group

Medicaid00012749MS

Other110028735Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa C Bushardt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204916034

PECOS Enrollment IDI20080107000627

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 Bushardt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hattiesburg Clinic PA

Same address

Family Medicine

105 THORNHILL DR
Hattiesburg, MS 39402

Reassigned Medicare billing, Mississippi enrollment
696 clinicians in this Medicare group

NPI 1558461707 (601) 261-3737

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

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

378 services323 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

336 services77 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

326 services234 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

306 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

256 services233 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

192 services90 patients

White blood cell count 85004

A white blood cell count is a blood test that measures the number of white blood cells in your body. These cells help fight infections. The test helps identify conditions like infections, inflammation, allergies, and diseases that affect the immune system.

130 services120 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

126 services122 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

115 services113 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

98 services82 patients

Injection, lincomycin hcl, up to 300 mg J2010

Lincomycin HCL injection is an antibiotic treatment, administered to fight bacterial infections. Up to 300 mg may be given, depending on the severity of your infection. This medication helps in stopping the growth of bacteria, aiding in recovery.

84 services42 patients

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002

This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.

59 services59 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

49 services46 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

45 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

44 services41 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

28 services12 patients

Analysis for antibody to mycoplasma (bacteria) 86738

This is a test to detect antibodies in your body that fight against mycoplasma, a type of bacteria. The test involves a simple blood draw. It helps in diagnosing infections caused by mycoplasma and guiding appropriate treatment.

19 services18 patients

Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique 87634

This test identifies the presence of the Respiratory Syncytial Virus (RSV) in your body. It uses a technique called the amplified probe, which increases the amount of viral genetic material, making it easier to detect. This helps in diagnosing RSV infections accurately.

16 services16 patients

Urinalysis using microscope 81015

Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.

14 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services14 patients

Coagulation function measurement, d-dimer; quantitative 85379

A quantitative D-dimer test measures the amount of D-dimer, a protein fragment, in your blood. This test helps detect abnormal blood clotting. D-dimer levels can rise in conditions where clots are forming and breaking down, such as deep vein thrombosis or pulmonary embolism.

13 services13 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

12 services12 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 8

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

NANCY J PERRIZO MD

Internal Medicine