Active NPI
Marsha M Lewis, MPH, RDN, CDE, LD
- Registered Dietitian
- Dublin, GA
National Provider Identifier
1043786221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002496
- Practice address
- 908 Hillcrest Pkwy
Dublin, GA 31021-4206 - Phone
- (478) 272-7411
- Fax
- (478) 274-8390
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002496 | GA | Primary |
Addresses
Primary practice location
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Mailing address
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Phone (478) 272-7411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
908 Hillcrest Pkwy
Dublin, GA 31021-4206
Phone 4782727411203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002496 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center, LLP | Current | Accepting new patients |
Locations
908 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 272-7411
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Dublin, GA
- NPI 1790804268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656806400000",
"number": "1043786221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214206",
"telephone_number": "478-272-7411",
"fax_number": "478-274-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214206",
"telephone_number": "478-272-7411",
"fax_number": "478-274-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARSHA",
"middle_name": "M",
"credential": "MPH, RDN, CDE, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2022-07-03",
"certification_date": "2022-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.