NPI age
19 years
Enumerated 2007-03-30
● Active
Type 1 · Individual
MRS. Lisa Yvonne Bradshaw-Small, APRN, BC
Bradshaw-Small is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
6269 Greenock Dr
Stone Mountain, GA 300876081
Mailing address
6269 Greenock Dr
Stone Mountain, GA 300876081
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Registered NurseDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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