DR. LISA MARIE WANNAMAKER D.O.
NPI 1912069451
Family Medicine in Evans, GA

Q: What is Lisa Wannamaker's NPI number?

The NPI number for Lisa Wannamaker is 1912069451. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Lisa Wannamaker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wannamaker was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 14, 2006PECOS Enrolled

4720 WASHINGTON RD, EVANS, GA 30809(706) 774-7263 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018, Dec 19, 2017 and 3 more (6 updates tracked since 2017).

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About Dr. Lisa Marie Wannamaker D.o. NPPES

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

DR. LISA MARIE WANNAMAKER D.O. (NPI 1912069451) is an individual family medicine provider in Evans, Georgia, licensed in Georgia (55462) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1912069451

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA MARIE WANNAMAKERCredential: D.O.

Location Address4720 WASHINGTON RDEvans, GA 30809

Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230

Phone(706) 774-7263

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateJune 4, 20186 updates tracked since enumeration

✔ NPI 1912069451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 55462

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4720 WASHINGTON RD, Evans, GA 30809

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Secondary Practice Locations 5

Location 14446 Washington Rd Ste 7Evans, GA 30809-6361 · Phone (706) 650-3173 · Fax (706) 863-5233

Location 2925 Branch CtGrovetown, GA 30813-3325 · Phone (706) 396-3570 · Fax (706) 396-3590

Location 3447 N Belair RdEvans, GA 30809-3090 · Phone (706) 854-2180 · Fax (706) 854-2189

Location 4465 N Belair Rd Ste 2BEvans, GA 30809-3190 · Phone (706) 774-7400 · Fax (706) 774-7590

Location 53486 Peach Orchard Rd Ste 100Augusta, GA 30906-5215 · Phone (706) 828-8000 · Fax (706) 828-8001

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. Lisa Marie Wannamaker D.o. 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 30809 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

$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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%75 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 8

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

KATIE ANN GRESHAM APRN

Nurse Practitioner (Family)