Active NPI
Jabari Lewis
- Phlebotomy Technician
- Live Oak, FL
National Provider Identifier
1164348116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 26R-CPT1620
- Practice address
- 118 Ohio Ave N Ste a
Live Oak, FL 32064-2464 - Phone
- (305) 853-6714
- NPI assigned
- Jun 25, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 26R-CPT1620 | FL | Primary |
Addresses
Primary practice location
118 Ohio Ave N Ste a
Live Oak, FL 32064-2464
Mailing address
2835 Kirkwood Cir
Valdosta, GA 31602-7125
Phone (305) 853-6714
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1164348116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 KIRKWOOD CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316027125",
"telephone_number": "305-853-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 OHIO AVE N STE A",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320642464",
"telephone_number": "305-853-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JABARI",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-06-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "FL",
"license": "26R-CPT1620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.