Joyce Rochelle Lewis, M.D.
Individual provider Active NPI Family Medicine Physician · Clarkston, GA
NPI 1043214737 · NPPES record last updated Dec 23, 2014
Key facts
- NPI
- 1043214737
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 041874 (GA)
- Practice address
- 3700 Market St
Ste C
Clarkston, GA 30021-2652 - Phone
- (404) 298-9333
- Fax
- (404) 298-9931
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greater Atlanta Family Healthcare LLC
Practice addresses (Care Compare)
3700 Market St
Suite C
Clarkston, GA 30021-2652
Phone (404) 298-9333
Hospital & facility affiliations
- Centerwell Home Health
- Emory Decatur Hospital
- Emory Hillandale Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110000037 | GA | Practitioner - Family Practice | 0244293348 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Atlanta Family Healthcare LLC | Family Medicine | Current |
Accepting new patients |
| Gentle Giant Care | Past |
Accepting new patients | |
| Georgia Department of Human Resources | Past | Accepting new patients |
Locations
3700 Market St
Ste C
Clarkston, GA 30021
Phone (404) 298-9333
Interoperability endpoints
- joyce.lewis@gadirect.net
- https://fhir4.healow.com/fhir/r4/FCCJBD/Endpoint/FCCJBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 041874 | GA | Yes |
Addresses
Primary practice location
3700 Market St
Ste C
Clarkston, GA 30021-2652
Mailing address
3700 Market St
Ste C
Clarkston, GA 30021-2652
Phone (404) 298-9333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000708408R | Medicaid | GA | |
| AETNA | Other | 5790459 | |
| 0101285 | Other | UNITED HEALTHCARE | |
| 1036625-300 | Other | FIRST HEALTH | |
| 000708408S | Medicaid | GA | |
| 0864145006 | Other | CIGNA | |
| 1215932751 | Other | GA | GROUP NP |
| 21149336803 | Other | BEECHSTREET | |
| 52508065-003 | Other | BLUE CROSS BLUE SHIELD | |
| 588779 | Other | AETNA |
Other providers in Clarkston, GA
- Esther Kim
- Marilyn Cecelia Kimble
- Robert Marc Kleiner
- Emily Schober Klingman
- Latrice Shanee Lawrence
- Rebecca Li
- Lifeline Medical Center, LLC
- Linco Healthcare System LLC
- Sean R Lindsey
- Ashenafi Mariye
All providers in Clarkston, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.