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

Mrs. Lisa L. Clark, FNP

Individual provider Family Nurse Practitioner · NPI 1801160353

Mrs. Lisa L. Clark, FNP is a Nurse Practitioner in Monroe, Georgia. Qualified in 2014, 12 years ago. Practices with Chronic Disease Management of Georgia LLC, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

704 Breedlove Dr Ste A
Monroe, GA 30655-2054
Phone: (803) 818-6900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1005 Boulder Dr, Gray, GA 31032 — (478) 621-2100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN089162 (GA)

Record details

NPI number1801160353
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 1, 2012
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Chronic Disease Management Of Georgia Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe