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

Individual provider Physician Assistant · NPI 1487082392

Lisa Hutcheson, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 2013, 13 years ago. Practices with Breast Care Specialists, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

745 Glynn St S
Fayetteville, GA 30214-2049
Phone: (770) 719-5490
Fax: (770) 719-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2572 (GA)

Record details

NPI number1487082392
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2013
Last updated in NPPESOctober 31, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Breast Care Specialists — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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