Active NPI
Curtis Alan Lewis, M.D., MBA, J.D.
- Vascular & Interventional Radiology Physician
- Atlanta, GA
National Provider Identifier
1093828956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 30499
- Practice address
- 80 Jessie Hill Jr. Dr
Atlanta, GA 30303 - Phone
- (404) 616-4261
- Fax
- (404) 616-6828
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 30499 | GA | Primary |
Addresses
Primary practice location
80 Jessie Hill Jr. Dr
Atlanta, GA 30303
Mailing address
215 Piedmont Ave NE
Unit 2208
Atlanta, GA 30308-3327
Phone (404) 616-4261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30499 | Other | GA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30499 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Education, Assessment and Leadership, Inc | Past | Accepting new patients |
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.
-
dba The HEALing Community Center
- Federally Qualified Health Center (FQHC)
- Atlanta, GA
- NPI 1831476399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093828956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PIEDMONT AVE NE",
"address_2": "UNIT 2208",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303083327",
"telephone_number": "404-616-4261",
"fax_number": "404-616-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSIE HILL JR. DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-616-4261",
"fax_number": "404-616-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CURTIS",
"middle_name": "ALAN",
"credential": "M.D., MBA, J.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "30499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "30499",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.