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

Lisa Kiernan

Individual provider Emergency Medicine Physician · NPI 1992509244

Lisa Kiernan is a Nurse Practitioner in Bonaire, Georgia. Qualified in 2025, 1 year ago. Practices with Houston County Emergency Group, LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

119 Golden Pond Blvd
Bonaire, GA 31005-4427
Phone: (478) 258-6636
Fax: (478) 258-6636
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN258735 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence RN258735 (GA)

Record details

NPI number1992509244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address119 Golden Pond Blvd, Bonaire, GA 31005-4427

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Houston County Emergency Group, Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bonaire