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

Individual provider Acute Care Nurse Practitioner · NPI 1558810788

Sallie Jayne Lisle, ACAGDNP is a Nurse Practitioner in Athens, Georgia. Qualified in 2016, 10 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

1199 Prince Ave
Athens, GA 30606-2797
Phone: (706) 546-7646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN085783 (GA)

Record details

NPI number1558810788
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACAGDNP
Sole proprietorNo
NPI enumeratedSeptember 29, 2016
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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