Brandi Lewis, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

76750 Issued in GA

Practice address

1180 Ernest W Barrett Pkwy NW Ste 102B
Kennesaw, GA 30144

Phone

(678) 354-2273

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Brandi Alexander Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicsoap.wellstar.org/fhirproxy/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• City of Cincinnati

  • Primary Care Clinic/Center
  • Cincinnati, OH
  • NPI 1831102151
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  • Surgery Physician
  • Austell, GA
  • NPI 1720421969
  NPD
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1043594260
  NPD
• City of Cincinnati

  • Clinic Pharmacy
  • Cincinnati, OH
  • NPI 1477112308
  NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • White Hall, AR
  • NPI 1982221065
  NPD (past)
• City of Cincinnati

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1952658759
  NPD (past)
• Doctors Health Group, Inc

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1992164750
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1003010976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 ERNEST W BARRETT PKWY NW STE 102B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444534",
            "telephone_number": "678-354-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 ERNEST W BARRETT PKWY NW STE 102B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "678-354-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Burnet Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293014",
            "country_code": "US",
            "telephone_number": "513-357-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013108",
            "country_code": "US",
            "telephone_number": "870-333-5476",
            "fax_number": "870-333-5475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRANDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.094508",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10688",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "76750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221871001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blewis343574@directwellstar.org",
            "affiliation": "N",
            "address_1": "1180 Ernest W Barrett Pkwy NW Ste 102B",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "ALEXANDER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Let'S Retreat LLC
• Let'S Speak and Eat L.L.C
• Nina Joyce Levasseur, RDN
• Stacey Levison, FNP-C
• Noa E Levy, PT, DPT
• Barbara Marie Leydecker, RDN
• Lifegate Health & Wellness
• Rodney James Liles
• Kimberly M Lim, DDS
• Kaylarose Lindsey, BCBA

• Pediatrics Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.