Doctor profile · Federal record
Dr. Lisa Daitch, PA
Medical Physician Assistant · Augusta, GA
- NPI 1861502445
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1120 15Th St
Augusta, GA 309120004
(706) 721-2505
fax (706) 721-1500 - Mailing address
-
1499 Walton Way, Ste 1400
Augusta, GA 309012602
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 31, 2011
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Georgia #003202
- Medicaid (2)
- SC #QM0720 · GA #100001419A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861502445. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$130
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Incyte Corporation | 1 | $130.40 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Daitch's medical specialty?
Dr. Lisa Daitch practices Medical Physician Assistant in Augusta, GA.
Where does Dr. Lisa Daitch practice?
Dr. Lisa Daitch practices at 1120 15Th St, Augusta, GA 309120004. Office phone: 7067212505.
What is Dr. Lisa Daitch's NPI?
Dr. Lisa Daitch's National Provider Identifier (NPI) is 1861502445, issued by NPPES.