J C Lewis Primary Health Care Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

J C LEWIS PRIMARY HEALTH CARE CENTER, INC

Practice address

3100 Montgomery St
Savannah, GA 31405-3212

Phone

(912) 495-8887

Fax

(912) 495-8881

NPI assigned

Jul 15, 2016

Organization subpart

Yes

Parent organization

J C LEWIS PRIMARY HEALTH CARE CENTERAs reported in NPPES

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

Authorized official

Name

Laura Adams

Title

Chief Financial Officer

Phone

(912) 495-8887

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

J C Lewis Primary Health Care Center Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• J.C. Lewis Primary Healthcare Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
  • NPI 1922301472

  Member Of

  NPD member

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23600/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1184077018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FAHM ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012391",
            "telephone_number": "912-495-8887",
            "fax_number": "912-495-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MONTGOMERY ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053212",
            "telephone_number": "912-495-8887",
            "fax_number": "912-495-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C LEWIS PRIMARY HEALTH CARE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J C LEWIS PRIMARY HEALTH CARE CENTER",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "912-495-8887"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122845A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "111961",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J C Lewis Primary Health Care Center
• J C Lewis Primary Health Care Center Inc
• J C Lewis Primary Health Care Center Inc
• J C Lewis Primary Health Care Center Inc
• J C Lewis Primary Health Care Center Inc
• J C Lewis Primary Healthcare Center Inc
• J Harper LLC
• J. Annette Parker-Herriott, O.D., P.C,. (EnVision Eye Care - Dr. J. A. Parker & Associates)
• J.C. Lewis Primary Healthcare Center, Inc
• J&L Anesthesia Inc

• Federally Qualified Health Center (FQHC) in Savannah, GA
• Providers in Savannah, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.