Lisa Lewis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010109 Issued in GA

Practice address

118 Pearl Ave N
Douglas, GA 31533

Phone

(912) 331-0846

Fax

(678) 792-4894

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Speech Language Pathologist

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pediatric Therapies of SE Ga, LLC

  • Pediatric Occupational Therapist
  • Brunswick, GA
  • NPI 1841577111

  Speech-Language Pathologist

  NPD (past)
• South Georgia Therapy Center

  • Speech-Language Pathologist
  • Douglas, GA
  • NPI 1861030157
  NPD (past)
• The Speech & Swallowing Clinic, LLC

  • Hearing and Speech Clinic/Center
  • Douglas, GA
  • NPI 1306026497
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1023532124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 BELL TELEPHONE RD",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315394643",
            "telephone_number": "912-347-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PEARL AVE N",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "31533",
            "telephone_number": "912-331-0846",
            "fax_number": "678-792-4894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Tallahassee St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "GA",
            "postal_code": "315396025",
            "country_code": "US",
            "telephone_number": "912-331-0846 x103",
            "fax_number": "678-792-4894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4212 Coral Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315203016",
            "country_code": "US",
            "telephone_number": "912-996-2069",
            "fax_number": "912-265-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LISA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "SLP010109",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory J Kramer, D.P.M.
• Megan Lambert, MS, RD, LD
• Larry E. Forth O.D.P.C.
• Larry Hutchison DC PC
• Haley Sellers Lewis, NP-C
• Macy Leigh Lewis, OT
• Mary Anne Lewis
• Life Line Home Care Inc
• Cheng Hsiung Lin, MD
• Lindsay Optical

• Speech-Language Pathologist in Douglas, GA
• Providers in Douglas, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.