DR. LISA DAWN MANDEVILLE M.D.
NPI 1821020041
Obstetrics & Gynecology in Decatur, GA

Q: What is Lisa Mandeville's NPI number?

The NPI number for Lisa Mandeville is 1821020041. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Lisa Mandeville's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mandeville was last updated on June 30, 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 07, 2006PECOS EnrolledAccepts Medicare Assignment

315 WINN WAY, DECATUR, GA 30030(404) 299-9724(404) 299-0382 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lisa Dawn Mandeville M.d. NPPES

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

DR. LISA DAWN MANDEVILLE M.D. (NPI 1821020041) is an individual obstetrics & gynecology provider in Decatur, Georgia, licensed in Georgia (046987) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Morehouse School Of Medicine (1995).

NPPES Registry Identity

NPI1821020041

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. LISA DAWN MANDEVILLECredential: M.D.

Location Address315 WINN WAYDecatur, GA 30030-2111

Mailing Address315 Winn WayDecatur, GA 30030-2111 · (404) 299-9724 · Fax (404) 299-0382

Phone(404) 299-9724

Fax(404) 299-0382

Sole ProprietorNo

Medical School CMSMorehouse School Of MedicineGraduated 1995

Enumeration DateJuly 7, 2006

Last NPPES UpdateJune 30, 2020

NPPES CertifiedJune 30, 2020

✔ NPI 1821020041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 046987

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

315 WINN WAY, Decatur, GA 30030

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Other Identifiers 8

Other160046634GA · Railroad Medicare

Other2264676GA · Aetna/ Ushc

Other7695077GA · Aetna/us Healthcare

OtherCN9240GA · Group Railroad Medicare

Medicaid000832851DGA

Other0700039GA · United Healthcare

Other598968GA · Blue Cross Blue Shield

Medicaid000832851EGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Lisa Dawn Mandeville M.d. 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 ID6002960655

PECOS Enrollment IDI20090817000048

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.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110226

Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

SARAH LOUISE DAVIS NP

Nurse Practitioner (Women's Health)