Mrs Lucille Travis, NP - Medicare Nurse Practitioner in Hiram, GA

  1. Home
  2. Nurse Practitioner
  3. GA
  4. Hiram
Mrs Lucille Travis, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Hiram, Georgia. Her current practice location is 4095 Atlanta Hwy, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 488-9521.

Mrs Lucille Travis is licensed to practice in Georgia (license number RN195568) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093206674.

Contact Information

Mrs Lucille Travis, NP
4095 Atlanta Hwy,
Hiram, GA 30141-1854
(404) 488-9521
(404) 836-8030

Map and Direction




Provider's Profile

Full NameMrs Lucille Travis
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location4095 Atlanta Hwy, Hiram, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093206674
  • Provider Enumeration Date: 05/19/2018
  • Last Update Date: 01/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042569311
  • Enrollment ID: I20180820002039

Medical Identifiers

Medical identifiers for Mrs Lucille Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093206674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN195568 (Georgia)Secondary
363LP2300XNurse Practitioner - Primary Care RN195568 (Georgia)Primary

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. Mrs Lucille Travis allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20200115001292
Entity NameKingdom Healthcare Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750913349
PECOS PAC ID: 8224454160
Enrollment ID: O20200821002161

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. Mrs Lucille Travis 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
Mrs Lucille Travis, NP
4095 Atlanta Hwy,
Hiram, GA 30141-1854

Ph: (404) 488-9521		Mrs Lucille Travis, NP
4095 Atlanta Hwy,
Hiram, GA 30141-1854

Ph: (404) 488-9521

Reviews and Comments


Nurse Practitioner Nurses in Hiram, GA

Mrs. Sara Hunlock Temple, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 51 Hiram Dr, Hiram, GA 30141
Phone: 678-945-8300    Fax: 770-445-2060
Gabriel Everson, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5604 Wendy Bagwell Pkwy Ste 511, Hiram, GA 30141
Phone: 678-447-5668    
Aubree Lauren Tant, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141
Phone: 678-945-8200    Fax: 678-945-8209
Matthew Lee Estes, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141
Phone: 770-505-0023    Fax: 770-505-9003
Kelsey Sheffer,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141
Phone: 770-938-9772    
Joy Horton,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Prince Ct, Hiram, GA 30141
Phone: 770-815-7357    

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.