LISA GORDON WEISS PA-C NPI 1730570409

NPI Information

  • NPI: 1730570409
  • Provider Name: LISA GORDON WEISS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3379 PEACHTREE RD NE
    SUITE 500
    ATLANTA, GA
    ZIP 30326
  • Phone: (404) 355-5484

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NPI Details

Lisa Gordon Weiss, PA-C is a medical physician assistant in Atlanta, GA. Lisa Gordon Weiss, PA-C NPI is 1730570409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3379 PEACHTREE RD NE
SUITE 500
ATLANTA, GA
ZIP 30326-031
Phone: (404) 355-5484

The NPI 1730570409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2015 and was last updated on 5/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical7489GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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