| Mrs Lisia A Sullins, NP | |
|
7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 | |
| (912) 638-4855 | |
| (912) 638-8302 |
| Full Name | Mrs Lisia A Sullins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 7000 Wellness Way, St Simons Island, 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 |
|---|---|---|---|
| 1609937499 | NPI | - | NPPES |
| 000190209B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP112143 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisia A Sullins, NP 7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 Ph: (912) 638-4855 | Mrs Lisia A Sullins, NP 7000 Wellness Way, Suite 130, St Simons Island, GA 31522-2286 Ph: (912) 638-4855 |
Mrs. Yeuk Mei Gentle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mallery St Apt 18, St Simons Island, GA 31522 Phone: 770-235-7014 | |
Carole Lyons, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 172 Follins Ln, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Shirley R Grant, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-638-1999 | |
Hannah Davis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7000 Wellness Way, Suite 7120, St Simons Island, GA 31522 Phone: 912-634-4966 Fax: 912-634-6542 | |
Mrs. Isabella Wilson, MSN, APRN, AGNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2255 Frederica Rd, St Simons Island, GA 31522 Phone: 912-638-9988 | |
Christopher Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 Yacht Club Ln, St Simons Island, GA 31522 Phone: 630-854-4724 |