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

Dr. Lisa Petty-Hartgrove, DBA

Individual provider Contractor · NPI 1366039588

Dr. Lisa Petty-Hartgrove, DBA is a Contractor in Kings Mountain, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

1010 Groves St Ste 2
Kings Mountain, NC 28086-2230
Phone: (980) 404-1809
Fax: (980) 352-0704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Contractor Taxonomy 171W00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1366039588
Entity typeIndividual (Type 1)
GenderFemale
Credentials DBA
Sole proprietorYes
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020