Individual provider Active NPI

Andre Christopher Lewis, MD

  • Internal Medicine Physician
  • Dublin, GA
National Provider Identifier
1104990795
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040457 Issued in GA
Practice address
200 Industrial Blvd.
Hospitalists at Fairview Park LLC
Dublin, GA 31021
Phone
(478) 274-3925
Fax
(478) 274-3663
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040457 GA Primary

Addresses

Primary practice location

200 Industrial Blvd.
Hospitalists at Fairview Park LLC
Dublin, GA 31021

Mailing address

200 Industrial Blvd.
Hospitalists at Fairview Park LLC
Dublin, GA 31021
Phone (478) 274-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040420000771 GA Practitioner - Internal Medicine 4688669310 Reassigns benefits to 2 organizations
I20141007002163 AL Practitioner - Internal Medicine 4688669310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians

Practice addresses (Care Compare)

200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Hospital & facility affiliations

  • Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
  • Dodge County Hospital Hospital, Eastman, GA, CCN 110092
  • Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040457GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 21, 2014 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 21, 2014 Accepting new patients
Northern Alabama Physicians, LLP Current Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Mar 1, 2016 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jun 20, 2015 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince Mar 1, 2016 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Jun 20, 2015 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Dec 1, 2014 Accepting new patients
Fairview Park, Limited Partnership Past Accepting new patients
Hospitalists at Fairview Park, LLC Past Accepting new patients
Healthwise Internal Medicine PastSince Jan 2, 2015 Accepting new patients
Medical Practice of James L. Fisher Past Accepting new patients

Locations

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: andre.lewis@hca5.eclinicaldirectplus.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1104990795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD.",
            "address_2": "HOSPITALISTS AT FAIRVIEW PARK LLC",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-274-3925",
            "fax_number": "478-274-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD.",
            "address_2": "HOSPITALISTS AT FAIRVIEW PARK LLC",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-274-3925",
            "fax_number": "478-274-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANDRE",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.