Lisa Wannamaker, D.O.
NPI 1912069451 · Family Medicine Physician · Evans, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Wannamaker, D.O. is a Family Medicine Physician provider in Evans, GA (NPI 1912069451).
Provider details
- NPI number
- 1912069451
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 55462 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (5)
- 3486 Peach Orchard Rd Ste 100Augusta, GA 30906-5215Phone: (706) 828-8000Fax: (706) 828-8001
- 465 N Belair Rd Ste 2bEvans, GA 30809-3190Phone: (706) 774-7400Fax: (706) 774-7590
- 4446 Washington Rd Ste 7Evans, GA 30809-6361Phone: (706) 650-3173Fax: (706) 863-5233
- 447 N Belair RdEvans, GA 30809-3090Phone: (706) 854-2180Fax: (706) 854-2189
- 925 Branch CtGrovetown, GA 30813-3325Phone: (706) 396-3570Fax: (706) 396-3590
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2018-06-04
Frequently asked questions
- What is Lisa Wannamaker's NPI number?
- Lisa Wannamaker's National Provider Identifier (NPI) is 1912069451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wannamaker's specialty?
- Lisa Wannamaker is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Wannamaker located?
- Lisa Wannamaker's practice location on file with NPPES is 4720 Washington Rd, Evans, GA 30809.
- What is Lisa Wannamaker's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wannamaker is (706) 774-7263.
- Does Lisa Wannamaker accept Medicare?
- Lisa Wannamaker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Wannamaker's NPI active?
- Yes — Lisa Wannamaker's NPI (1912069451) is active in the NPPES registry as of the last update on 2018-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.