Lisa D Gantt
ANP | Nurse Practitioner
200 Patewood Dr Ste B200, Greenville
South Carolina, 29615-6321
864-232-7338
Lisa D Gantt is a Greenville, South Carolina based nurse practitioner. Active license number of Lisa D Gantt is A764 in South Carolina. Her current practice location is 200 Patewood Dr Ste B200, Greenville. Patients can reach her at 864-232-7338 or can fax her at 864-239-6645. Lisa D Gantt is ANP and her NPI number (Unique professional ID assigned by NPPES) is 1487636643.
Lisa D Gantt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa D Gantt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Lisa D Gantt |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | ANP |
| Practice Address: | 200 Patewood Dr Ste B200, Greenville,
South Carolina, 29615-6321 |
| Phone: | 864-232-7338 |
| Fax: | 864-239-6645 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1487636643 |
| NPI Enumeration Date: | 15 Nov, 2005 |
| NPI Last Update On: | 31 Jan, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa D Gantt are as mentioned below.
| License Number | Specialization | State | Status | |
| A764 | | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa D Gantt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PA1845 | Medicaid | South Carolina | |
| 1874 | Other | South Carolina | MEDICARE PTAN |
| P01251001 | Other | South Carolina | RAILROAD MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lisa D Gantt
Po Box 8676,
Greenville, South Carolina |
| Zip: | 29604-8676 |
| Phone Number: | 864-232-7338 |
| Fax Number: | 864-239-6645 |
Patients can reach Lisa D Gantt at
200 Patewood Dr Ste B200, Greenville, South Carolina or can
call to book an appointment on 864-232-7338.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.