Active NPI 1104456235 Individual Practitioner Female Practitioner

Lisa Gaye Ingram , MSN, APRN, FNP

Nurse Practitioner • Thomaston, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Ingram, MSN, APRN, FNP is a certified Nurse Practitioner practicing in Thomaston, GA. With approximately 7 years of clinical experience since completing medical education in 2019, Lisa Ingram delivers high-quality medical care to the local community at 801 W GORDON ST.

Lisa Ingram is affiliated with Ultra Health Providers Ii Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

801 W Gordon St

Thomaston, GA 302863426

Telephone 7066478111

Fax 7066463153

Associated Practice Facility / Clinic

🏢 Upson County Hospital Inc Facility NPI 1659376630

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Thomaston, GA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -0.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

7 Specialists

Practicing in Thomaston, GA (3149 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ingram (7 Years) 7 Yrs

Thomaston Specialty Average (7.5 Years) 7.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	13	$215.79	$101.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$115.00	$102.18
36415 Insertion of needle into vein for collection of blood sample	17	16	$10.00	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	64	14	$11.69	$0.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$115.00	$102.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	14	$20.00	$11.11
36415 Insertion of needle into vein for collection of blood sample	25	21	$10.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$215.00	$101.80
G0009 Administration of pneumococcal vaccine	20	20	$25.00	$24.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$325.00	$282.89
J1030 Injection, methylprednisolone acetate, 40 mg	14	13	$12.43	$7.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	108	17	$11.89	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	34	$215.00	$102.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	22	$33.09	$11.37
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$150.00	$72.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$115.00	$104.72
81003 Automated urinalysis test	24	18	$16.00	$2.22
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	21	19	$100.00	$30.54
J1030 Injection, methylprednisolone acetate, 40 mg	16	13	$12.25	$6.66
36415 Insertion of needle into vein for collection of blood sample	16	13	$10.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	290	33	$12.13	$0.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	38	$41.63	$11.30
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$150.00	$73.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	51	$215.00	$104.97
J0696 Injection, ceftriaxone sodium, per 250 mg	60	12	$14.93	$0.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$115.00	$106.79
36415 Insertion of needle into vein for collection of blood sample	34	31	$10.00	$3.00
81003 Automated urinalysis test	31	23	$16.00	$2.25
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	29	27	$100.00	$63.59
J1030 Injection, methylprednisolone acetate, 40 mg	27	25	$12.22	$5.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$115.00	$93.84
36415 Insertion of needle into vein for collection of blood sample	41	36	$10.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	29	$171.05	$88.82
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$115.96	$61.02
G0009 Administration of pneumococcal vaccine	15	15	$25.00	$15.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$35.43	$11.52
G0008 Administration of influenza virus vaccine	11	11	$25.00	$15.91

Medical Specialties & State Licenses

CMS Verified: 2020-01-16

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN062064

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ultra Health Providers Ii Llc

1011 S Green St, Thomaston, GA 302864643

Phone: 7313941145

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Andrew Simmons , ACNPC-AG

Clinical Nurse Specialist - Acute Care

NPI 1033847793

ACNPCAG

Dr. Dong Trang , DO

Emergency Medicine

NPI 1053329656

Doctor of Osteopathic Medicine (D.O.)

Rachael Sweeney , NP-BC

Nurse Practitioner

NPI 1083064539

NPBC

Dr. Joyce Glisson , PharmD

Pharmacist

NPI 1083833792

Doctor of Pharmacy (Pharm.D.)

Dr. John Patrick , MD

Radiology - Diagnostic Radiology

NPI 1124023023

Doctor of Medicine (M.D.)

Dr. Rachel Rowland , MD

Family Medicine

NPI 1144852856

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 16, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 16, 2020

Registered at 801 W GORDON ST, THOMASTON, GA 302863426 (Tel: 7066478111)

📍

Updated Business Mailing Address January 16, 2020

Registered at PO BOX 1059, THOMASTON, GA 302860027 (Tel: 7066478111)

👤

Provider Name / Credentials Updated January 16, 2020

Recorded as LISA INGRAM, MSN, APRN, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2020

Nurse Practitioner (License #RN062064 in GA)

🟢

Initial NPI Registration & Enumeration January 16, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104456235

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2020

Last Update: January 16, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1059

Thomaston, GA 302860027

Phone: 7066478111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.