Active NPI
Austin J Lewis, MD
- Surgery Physician
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 080683
- Practice address
- 157 Clinic Ave Ste 302
Carrollton, GA 30117 - Phone
- (770) 834-3336
- Fax
- (770) 832-2331
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 080683 | GA | Primary |
Addresses
Primary practice location
157 Clinic Ave Ste 302
Carrollton, GA 30117
Mailing address
706 Dixie St Ste 220
Carrollton, GA 30117-3858
Phone (770) 838-8710
Other practice location 1
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 Clinic Ave
Suite 302B
Carrollton, GA 30117-4454
Phone (770) 812-5902
Hospital & facility affiliations
- Tanner Home Health Services
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080683 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Medical Group Inc | Current | Accepting new patients | |
| TMC Children'S Healthcare of West Georgia | Past | Accepting new patients | |
| Tanner Medical Center, Inc | Past | Accepting new patients |
Locations
119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710
157 Clinic Ave
Ste 302B
Carrollton, GA 30117
Phone (770) 812-5902
157 Clinic Ave
Ste 302
Carrollton, GA 30117
Phone (770) 812-5902
706 Dixie St
Ste 220
Carrollton, GA 30117
Phone (770) 812-8825
157 Clinic Ave
Ste 302C
Carrollton, GA 30117
Phone (770) 834-3336
690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Carrollton, GA
- NPI 1396979787
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- Medical Specialty Clinic/Center
- Carrollton, GA
- NPI 1518972348
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- Home Health Agency
- Carrollton, GA
- NPI 1457376386
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1003256983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 DIXIE ST STE 220",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173858",
"telephone_number": "770-838-8710",
"fax_number": "770-812-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 CLINIC AVE STE 302",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "30117",
"telephone_number": "770-834-3336",
"fax_number": "770-832-2331"
}
],
"practiceLocations": [
{
"address_1": "1924 Alcoa Hwy # U-11",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201511",
"country_code": "US",
"telephone_number": "865-305-9230",
"fax_number": "865-305-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "AUSTIN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "080683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.