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

Lisa Gaye Ingram, MSN, APRN, FNP

Individual provider Nurse Practitioner · NPI 1104456235

Lisa Gaye Ingram, MSN, APRN, FNP is a Nurse Practitioner in Thomaston, Georgia. Qualified in 2019, 7 years ago. Practices with Ultra Health Providers II LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

801 W Gordon St
Thomaston, GA 30286-3426
Phone: (706) 647-8111
Fax: (706) 646-3153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN062064 (GA)

Record details

NPI number1104456235
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , APRN , FNP
Sole proprietorNo
NPI enumeratedJanuary 16, 2020
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ultra Health Providers Ii Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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