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

Mrs. Lucille Travis, NP

Individual provider Gerontology Nurse Practitioner · NPI 1093206674

Mrs. Lucille Travis, NP is a Nurse Practitioner in Hiram, Georgia. Qualified in 2017, 9 years ago. Practices with Care at Home Medical Practice PC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

4095 Atlanta Hwy
Hiram, GA 30141-1854
Phone: (404) 488-9521
Fax: (404) 836-8030
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN195568 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN195568 (GA)

Record details

NPI number1093206674
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 19, 2018
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Care At Home Medical Practice Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount