Dr. Lisa Darbonne Rackley , DDS
Dentist - General Practice β’ Eglin Afb, FL
96th Medical Group, 307 Boatner Road
Eglin Afb, FL 32542
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
96th Medical Group
307 Boatner Road
Eglin Afb, FL 32542
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Eglin Afb and Florida
16 active clinicians are listed under Dentist - General Practice with a practice address in Eglin Afb, FL (7,118 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Eglin Afb
0% of these 16 clinicians have the CMS telehealth indicator.
0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Internal Medicine - Hematology & Oncology
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 96TH MEDICAL GROUP, 307 BOATNER ROAD, EGLIN AFB, FL 32542 (Tel: 8508839957)
Registered at 96TH MEDICAL GROUP, 307 BOATNER ROAD, STE 113, EGLIN AFB, FL 32542 (Tel: 8508839957)
NPI status registered as active in NPPES database
Registered at 810 E JAMES LEE BLVD, CRESTVIEW, FL 325393118 (Tel: 8506897808)
Registered at 810 E JAMES LEE BLVD, CRESTVIEW, FL 325393118 (Tel: 8506897808)
Recorded as LISA RACKLEY, DDS
Dentist (license number reported to NPPES: LA 3672)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Eglin Afb
Healthcare providers in Eglin AfbMailing Address
96th Medical Group, 307 Boatner Road, Ste 113
Eglin Afb, FL 32542
Phone: 8508839957