| Lisa Gaye Ingram, MSN, APRN, FNP | |
|
801 W Gordon St, Thomaston, GA 30286-3426 | |
| (706) 647-8111 | |
| (706) 646-3153 |
| Full Name | Lisa Gaye Ingram |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 801 W Gordon St, Thomaston, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104456235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN062064 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sabrina Lancaster Np-c Inc | 4789913328 | 4 |
| Ultra Health Providers Ii Llc | 5395284616 | 11 |
| Entity Name | Sabrina Lancaster Np-c Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245882117 PECOS PAC ID: 4789913328 Enrollment ID: O20190909000128 |
| Entity Name | Ultra Health Providers Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033956057 PECOS PAC ID: 5395284616 Enrollment ID: O20240829003110 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Gaye Ingram, MSN, APRN, FNP Po Box 1059, Thomaston, GA 30286-0027 Ph: (706) 647-8111 | Lisa Gaye Ingram, MSN, APRN, FNP 801 W Gordon St, Thomaston, GA 30286-3426 Ph: (706) 647-8111 |
Mrs. Tammie Ann Williams, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Cherokee Rd, Thomaston, GA 30286 Phone: 706-647-3200 Fax: 706-647-2346 | |
Lisa Marie Jenkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 S Center St, Thomaston, GA 30286 Phone: 706-647-2147 Fax: 706-647-7229 | |
Mary Suzanne Gamel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1512 Highway 19 N, Thomaston, GA 30286 Phone: 706-647-2641 Fax: 706-647-2680 | |
Mrs. Felicia Annette Jarrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 Fax: 706-647-7713 | |
Sybil Lew, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Deluxe Cir Ste B, Thomaston, GA 30286 Phone: 706-647-7509 Fax: 706-647-6624 | |
Lacey Nicole Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 |