Sallie Jayne Lisle, ACAG DNP - Medicare Nurse Practitioner in Athens, GA

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Sallie Jayne Lisle, ACAG DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Athens, Georgia. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Emory Clinic, Inc and her current practice location is 1199 Prince Ave, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 546-7646.

Sallie Jayne Lisle is licensed to practice in Georgia (license number RN085783) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558810788.

Contact Information

Sallie Jayne Lisle, ACAG DNP
1199 Prince Ave,
Athens, GA 30606-2797
(706) 546-7646
Not Available

Map and Direction




Provider's Profile

Full NameSallie Jayne Lisle
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1199 Prince Ave, Athens, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sallie Jayne Lisle graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1558810788
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 01/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052699170
  • Enrollment ID: I20161025001032

Medical Identifiers

Medical identifiers for Sallie Jayne Lisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558810788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN085783 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University Hospital MidtownAtlanta, GAHospital
Emory Johns Creek HospitalJohns creek, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Emory Clinic, Inc88209014082687

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sallie Jayne Lisle allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameNortheast Georgia Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277
Entity NamePiedmont Athens Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967
Entity NamePiedmont Athens Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184130627
PECOS PAC ID: 8820349772
Enrollment ID: O20180917001273

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sallie Jayne Lisle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sallie Jayne Lisle, ACAG DNP
743 Spring St Ne,
Gainesville, GA 30501-3715

Ph: (770) 219-6634		Sallie Jayne Lisle, ACAG DNP
1199 Prince Ave,
Athens, GA 30606-2797

Ph: (706) 546-7646

Reviews and Comments


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Cheryl Y Reed, NP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.