DR. LISA FAY FOWLKES MD
NPI 1871504100
Hospitalist in Athens, GA

Q: What is Lisa Fowlkes's NPI number?

The NPI number for Lisa Fowlkes is 1871504100. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Lisa Fowlkes's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fowlkes was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 11, 2006PECOS EnrolledAccepts Medicare Assignment

78.41/100

CMS Quality Rating

1230 BAXTER ST, ATHENS, GA 30606(706) 389-3420(706) 389-3411 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2021, Feb 18, 2019 (2 updates tracked since 2019).

On this page

About Dr. Lisa Fay Fowlkes Md NPPES

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

DR. LISA FAY FOWLKES MD (NPI 1871504100) is an individual hospitalist provider in Athens, Georgia, licensed in Georgia (48289) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Duke University School Of Medicine (1993).

NPPES Registry Identity

NPI1871504100

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. LISA FAY FOWLKESCredential: MD

Location Address1230 BAXTER STAthens, GA 30606-3712

Mailing Address1230 Baxter St, Po Box 7695Athens, GA 30606-3712 · (706) 389-3420 · Fax (706) 389-3411

Phone(706) 389-3420

Fax(706) 389-3411

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1993

Enumeration DateAugust 11, 2006

Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1871504100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 48289

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 48289 (GA)

1230 BAXTER ST, Athens, GA 30606

Open in Google Maps ↗

Other Identifiers 1

Medicaid000862364BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 Fay Fowlkes 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 ID7810971652

PECOS Enrollment IDI20040617000857, I20250529000065

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

200 services91 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

149 services144 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

51 services50 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services32 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Tift Regional Medical Center

Acute Care Hospitals · Tifton, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110095

Location901 E 18th StreetTifton, GA 31793 · Tift County

Emergency services Birthing friendly

Singing River Health System

Acute Care Hospitals · Pascagoula, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250040

Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County

Emergency services Birthing friendly

Anderson Regional Medical Center

Acute Care Hospitals · Meridian, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250104

Location2124 14th StreetMeridian, MS 39301 · Lauderdale County

Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250123

Location15200 Community RoadGulfport, MS 39503 · Harrison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.68

Promoting Interoperability

100

Improvement Activities

Cost

66.15

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers12 claims12 services$99.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LINDA RITTER MD

Anesthesiology