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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA M AVERY M.D.
NPI 1699008409
Psychiatry & Neurology - Neurology in Bradenton, FL

Active since September 11, 2009PECOS Enrolled
3800 26TH ST W, BRADENTON, FL 34205(941) 752-1700(941) 752-1717 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, Apr 1, 2025, Jan 17, 2017 (3 updates tracked since 2017).

About Dr. Lisa M Avery M.d. NPPES

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

DR. LISA M AVERY M.D. (NPI 1699008409) is an individual neurology provider in Bradenton, Florida, licensed in Georgia (053486) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1999).

NPPES Registry Identity

NPI1699008409
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. LISA M AVERYCredential: M.D.
Location Address3800 26TH ST WBradenton, FL 34205-3508
Mailing Address3800 26th St WBradenton, FL 34205-3508 · (941) 752-1700 · Fax (941) 752-1717
Phone(941) 752-1700
Fax(941) 752-1717
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1999
Enumeration DateSeptember 11, 2009
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1699008409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in GA · 053486✔ Licensed in FL · ME 94226
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License ME94226 (FL)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License ME 94226 (FL)
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License ME94226 (FL)
3800 26TH ST W, Bradenton, FL 34205
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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 M Avery M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698996585
PECOS Enrollment IDI20250212000424
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 Avery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Neurosciences LLC
428 mi
Neurology
1260 HIGHWAY 54 W STE 200
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
NPI 1649871351 (214) 619-1910

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

DR. FRANTZ SIMEON M.D.
General Practice
3800 26TH ST W
BRADENTON, FL 34205
Manatee County (195) 462-4603
RETURN TO PLAY
Pain Medicine (Pain Medicine)
3800 26TH ST W
BRADENTON, FL 34205
Manatee County (941) 752-1700

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 Avery's NPI number?

The NPI number for Lisa Avery is 1699008409. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Lisa Avery located?

Lisa Avery practices at 3800 26th St W, Bradenton, FL 34205. The listed phone number is (941) 752-1700.

What is Lisa Avery's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lisa Avery enrolled in Medicare?

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

Which organization bills Medicare for Lisa Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Avery reassigns Medicare benefits to Georgia Neurosciences LLC (Fayetteville, 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 Avery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Avery affiliated with any hospitals?

According to CMS data, Lisa Avery is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Avery was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.