Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa M Avery, MD

Individual provider Neurology Physician · NPI 1699008409

Dr. Lisa M Avery, MD is a Neurology in Fayetteville, Georgia. Graduated from University of Rochester School of Medicine and Dentistry in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Florida and Georgia.

Years since qualifying
27
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
FL, GA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1260 Highway 54 W
Fayetteville, GA 30214-4514
Phone: (214) 619-1910
Fax: (214) 619-1914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 053486 (GA)
Neurology Physician Taxonomy 2084N0400X · Licence ME 94226 (FL)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence ME 94226 (FL)

Record details

NPI number1699008409
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 11, 2009
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address1260 Highway 54 W, Fayetteville, GA 30214-4514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated

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