DR. NATASHA ALEXIS LISIN-QUEEN DMD
NPI 1902068372
Dentist in Gainesville, GA

Active since June 27, 2008PECOS Enrolled
592 MEDICAL PARK DR STE B, GAINESVILLE, GA 30501(678) 498-1441 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Nov 23, 2015 (2 updates tracked since 2015).

About Dr. Natasha Alexis Lisin-queen Dmd NPPES

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

DR. NATASHA ALEXIS LISIN-QUEEN DMD (NPI 1902068372) is an individual dentist in Gainesville, Georgia, licensed in Georgia (DN014359) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1902068372
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NATASHA ALEXIS LISIN-QUEENCredential: DMD
Location Address592 MEDICAL PARK DR STE BGainesville, GA 30501-2055
Mailing Address230 Chickering Lake DrRoswell, GA 30075-3278 · (314) 498-9006
Sole ProprietorNo
Enumeration DateJune 27, 2008
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1902068372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in GA · DN014359 Licensed in FL · DN31461
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

592 MEDICAL PARK DR STE B, Gainesville, GA 30501

Secondary Practice Location 1

Location 12500 Dallas Hwy SWMarietta, GA 30064-2567 · Phone (407) 462-9828

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Natasha Alexis Lisin-queen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 3

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

Dentist
592 MEDICAL PARK DR STE B
GAINESVILLE, GA 30501
Dentist (Orthodontics and Dentofacial Orthopedics)
592 MEDICAL PARK DR STE B
GAINESVILLE, GA 30501
Dentist (General Practice)
592 MEDICAL PARK DR STE B
GAINESVILLE, GA 30501

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 Natasha Lisin-queen's NPI number?

The NPI number for Natasha Lisin-queen is 1902068372. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Natasha Lisin-queen located?

Natasha Lisin-queen practices at 592 Medical Park Dr Ste B, Gainesville, GA 30501. The listed phone number is (678) 498-1441.

What is Natasha Lisin-queen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Natasha Lisin-queen enrolled in Medicare?

Yes. Natasha Lisin-queen is registered in the Medicare PECOS enrollment system.

What insurance does Natasha Lisin-queen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Natasha Lisin-queen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natasha Lisin-queen was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.