DR. LISA BRITTANY BOOTSTAYLOR M.D.
NPI 1932211000
Specialist in Atlanta, GA

Active since August 31, 2006
550 PEACHTREE ST NE, STE 1480, ATLANTA, GA 30308(404) 240-2804(404) 240-2805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Lisa Brittany Bootstaylor M.d. NPPES

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

DR. LISA BRITTANY BOOTSTAYLOR M.D. (NPI 1932211000) is an individual specialist in Atlanta, Georgia, licensed in Georgia (045402) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1932211000
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. LISA BRITTANY BOOTSTAYLORCredential: M.D.
Location Address550 PEACHTREE ST NE, STE 1480Atlanta, GA 30308-2247
Mailing Address550 Peachtree St Ne, Ste 1480Atlanta, GA 30308-2247 · (404) 240-2804 · Fax (404) 240-2805
Fax(404) 240-2805
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932211000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 045402
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
550 PEACHTREE ST NE, Atlanta, GA 30308

Other Identifiers 2

Medicare ID-Type Unspecified24BCBQVGA
Medicare UPING87806GA

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.

Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Anesthesiologist Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Physician Assistant
550 PEACHTREE ST NE
ATLANTA, GA 30308
Occupational Therapist
550 PEACHTREE ST NE
ATLANTA, GA 30308
Otolaryngology
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine (Infectious Disease)
550 PEACHTREE ST NE
ATLANTA, GA 30308
Surgery
550 PEACHTREE ST NE
ATLANTA, GA 30308
Internal Medicine
550 PEACHTREE ST NE
ATLANTA, GA 30308

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 Bootstaylor's NPI number?

The NPI number for Lisa Bootstaylor is 1932211000. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Lisa Bootstaylor located?

Lisa Bootstaylor practices at 550 Peachtree St NE Ste 1480, Atlanta, GA 30308. The listed phone number is (404) 240-2804.

What is Lisa Bootstaylor's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Bootstaylor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.