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LISA H. DAITCH PA
NPI 1861502445
Physician Assistant - Medical in Augusta, GA

Active since August 30, 2006
1120 15TH ST, AUGUSTA, GA 30912(706) 721-2505(706) 721-1500 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa H. Daitch Pa NPPES

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

LISA H. DAITCH PA (NPI 1861502445) is an individual medical provider in Augusta, Georgia, licensed in Georgia (003202) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1861502445
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA H. DAITCHCredential: PA
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 828-8402
Phone(706) 721-2505
Fax(706) 721-1500
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 31, 2011
✔ NPI 1861502445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 003202
1120 15TH ST, Augusta, GA 30912
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Other Identifiers 4

Medicare ID-Type Unspecified97BBFGCGA · Ga Medicare #
MedicaidQM0720SC
Medicare UPINS90953
Medicaid100001419AGA

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. TOYA HESTER KELLEY MD
Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-3157
DR. JACK BRADLEY ELLIS D.O.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
MR. ROBERT SCOTT SMITH FNP-C
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8549
SAMI MOHAMMED ALSHEHRY
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Richmond County (706) 721-2411
LUIS ALBERTO VELASQUEZ ZARATE M.D
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-2771
DR. BRYAN RICHARD BROACH M.D.
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
JANELLE MCGILL M.D.
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623
DR. KAYLA ASHLEY SHAHBAZIAN DO
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Richmond County (706) 721-8623

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 Daitch's NPI number?

The NPI number for Lisa Daitch is 1861502445. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Lisa Daitch located?

Lisa Daitch practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-2505.

What is Lisa Daitch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lisa Daitch was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.