Individual provider Active NPI

Kelly Michelle Lewis-Arthur, PHD

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1164832630
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003785 Issued in GA
Practice address
3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000
Phone
(770) 284-1044
Fax
(404) 228-3860
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003785 GA Primary

Addresses

Primary practice location

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000

Mailing address

2801 Buford Hwy NE
Brookhaven, GA 30329-2149
Phone (770) 284-1044

Other names 1

  • Dr. Kelly M Lewis Former name

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1164832630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "770-284-1044",
            "fax_number": "404-228-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262000",
            "telephone_number": "770-284-1044",
            "fax_number": "404-228-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-ARTHUR",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LEWIS",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.