NPI age
9 years
Enumerated 2016-07-08
● Active
Type 1 · Individual
Marianne Lissade, AGNP-C
Lissade is 1 of 6 nurse practitioner providers in Stone Mountain and 1 of 806 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
9 years
↓ 2 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-07Enumerated in NPPES
2016
2026
Where they practice
Practice location
1825 Rockbridge Rd Ste 15b
Stone Mountain, GA 300873306
Mailing address
Po Box 740015
Atlanta, GA 303740015
Additional practice locations
1 secondary location on file with NPPES.
Location 2
133 W Athens St
Winder, GA 306801786
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
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Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 16 other active providers share 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.