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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730332131

MS. Lisa Bazemore Rivera, MD is a Neurology in Duluth, Georgia. Graduated from University of Alabama School of Medicine in 2008, 18 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
18
Trained at
University of Alabama School of Medicine
Licensed in
GA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 Steve Reynolds Blvd Kaiser Permanente Gwinnett Medical Ctr
Duluth, GA 30096-4506
Phone: (205) 934-4794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 068548 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730332131
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 29, 2008
Last updated in NPPESJanuary 10, 2022

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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