NPIMap

Individual provider Active NPI

Chance Charles Lewis, M.D.

  • Pulmonary Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1194257766
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
95546 Issued in GA
Practice address
631 Professional Dr Ste 350
Lawrenceville, GA 30046-3370
Phone
(336) 716-6410
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227154 NC
Pulmonary Disease Physician 207RP1001X 95546 GA Primary

Addresses

Primary practice location

631 Professional Dr Ste 350
Lawrenceville, GA 30046-3370

Mailing address

631 Professional Dr Ste 350
Lawrenceville, GA 30046-3370
Phone (336) 716-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615002168 NC Practitioner - Pulmonary Disease 6305122268 Reassigns benefits to 1 organization
I20230619000605 GA Practitioner - Pulmonary Disease 6305122268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Pulmonary GroupGroup PAC ID 1153317615, 17 clinicians

Practice addresses (Care Compare)

631 Professional Dr
Suite 350
Lawrenceville, GA 30046-3370
Phone 7709950630135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
70.36
Promoting interoperability
100
Improvement activities
40
Cost
77.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227154NCMDInternal Medicine Physician
95546GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pulmonary Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Jun 7, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jun 7, 2022 Accepting new patients

Locations

3855 Pleasant Hill Rd
Ste 180
Duluth, GA 30096
Phone 7709950630 ext. 128

631 Professional Dr
Ste 350
Lawrenceville, GA 30046
Phone (770) 995-0630

1600 Medical Way
Ste 250
Snellville, GA 30078
Phone (770) 979-8080

1350 S Kings Dr
Fl 3
Charlotte, NC 28207
Phone (704) 446-1242

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: chance.lewis.1@14769.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1194257766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463370",
            "telephone_number": "336-716-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463370",
            "telephone_number": "336-716-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHANCE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "227154",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "95546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.