| 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 | 5 Years |
| Location | 801 W Gordon St, Thomaston, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upson Regional Medical Center | Thomaston, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upson Family Physicians, Lc | 3072659242 | 11 |
| Upson County Hospital Inc | 8729075536 | 51 |
| Upson Family Medical Center, Llc | 9032472824 | 6 |
| Entity Name | Upson Family Physicians, Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083842918 PECOS PAC ID: 3072659242 Enrollment ID: O20091002000004 |
| Entity Name | Upson Family Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124528344 PECOS PAC ID: 9032472824 Enrollment ID: O20180409001182 |
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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: Medicare Enrolled Practice Location: 801 W Gordon St, Thomaston, GA 30286 Phone: 706-647-8111 |