1. Home
  2. Directory
  3. Georgia
  4. Duluth
  5. Psychiatry Neurology
  6. NPI Profile

MS. LISA BAZEMORE RIVERA MD
NPI 1730332131
Psychiatry & Neurology - Neurology in Duluth, GA

Active since October 29, 2008PECOS EnrolledAccepts Medicare Assignment
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096(205) 934-4794 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lisa Bazemore Rivera Md NPPES

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

MS. LISA BAZEMORE RIVERA MD (NPI 1730332131) is an individual neurology provider in Duluth, Georgia, licensed in Georgia (068548) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1730332131
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMS. LISA BAZEMORE RIVERACredential: MD
Location Address3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTERDuluth, GA 30096-4506
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070
Phone(205) 934-4794
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008
Enumeration DateOctober 29, 2008
Last NPPES UpdateJanuary 10, 2022
✔ NPI 1730332131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in GA · 068548
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3650 STEVE REYNOLDS BLVD, Duluth, GA 30096
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 and accepts Medicare assignment

Ms. Lisa Bazemore Rivera 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 ID3274752670
PECOS Enrollment IDI20140917001712
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.

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

DR. DANIEL CRAIG GRIZZLE M.D.
Family Medicine
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6220
SHAWNAY NICOLE MAZELL M.D.
Psychiatry & Neurology (Neurology)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (678) 549-6257
PATRICIA BEATRIZ MASSO MALDONADO AUD
Audiologist
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (404) 365-0966
MS. MICHELLE S BERKOWITZ CNM
Midwife
3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LINDA H REMLINGER CNP
Pediatrics
3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096
Gwinnett County (770) 931-6012
DR. TERI L LAURENTI PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096
Gwinnett County (770) 931-6176
KELLEY WAGES STARNES CNM
Midwife
3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (770) 931-6110
LESLIE JEAN QUACKENBUSH LCSW
Social Worker (Clinical)
3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096
Gwinnett County (919) 764-2000

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 Rivera's NPI number?

The NPI number for Lisa Rivera is 1730332131. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Lisa Rivera located?

Lisa Rivera practices at 3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096. The listed phone number is (205) 934-4794.

What is Lisa Rivera's specialty?

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

Is Lisa Rivera enrolled in Medicare?

Yes. Lisa Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Rivera affiliated with any hospitals?

According to CMS data, Lisa Rivera is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Rivera was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.