NPI age
19 years
Enumerated 2006-07-07
● Active
Type 1 · Individual
DR. Lisa Dawn Mandeville, M.D.
Mandeville is 1 of 50 obstetrics & gynecology providers in Decatur and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
315 Winn Way
Decatur, GA 300302111
Mailing address
315 Winn Way
Decatur, GA 300302111
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 2264676 | AETNA/ USHC |
| 01 (GA) | CN9240 | GROUP RAILROAD MEDICARE |
| 01 (GA) | 0700039 | UNITED HEALTHCARE |
| 05 (GA) | 000832851E | |
| 01 (GA) | 160046634 | RAILROAD MEDICARE |
| 01 (GA) | 598968 | BLUE CROSS BLUE SHIELD |
| 01 (GA) | 7695077 | AETNA/US HEALTHCARE |
| 05 (GA) | 000832851D |
Practice context
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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