Individual provider Active NPI

Beth A Lewis, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1205457264
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN203961 Issued in GA
Practice address
865 S 1St St
Jesup, GA 31545-0210
Phone
(912) 530-3178
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN203961 GA Primary

Addresses

Primary practice location

865 S 1St St
Jesup, GA 31545-0210

Mailing address

PO Box 484
Jesup, GA 31598-0484
Phone (912) 424-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210617001206 GA Practitioner - Nurse Practitioner 4385044072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

370 Peachtree St
Jesup, GA 31545-0244
Phone (912) 629-2290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.9
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Lung & Critical Care Specialists CurrentSince Aug 19, 2023 Accepting new patients
Wayne SJC Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Southeast Lung & Critical Care Specialists, P.C. Current Accepting new patients
Wayne SJC Medical Group, LLC CurrentSince Jun 1, 2021 Accepting new patients
Southeast Lung & Critical Care Specialists, PC CurrentSince Aug 19, 2023 Accepting new patients
Southeast Lung & Critical Care Specialists, PC Family Past Accepting new patients
Southeast Lung & Critical Care Specialists P C Past Accepting new patients

Locations

601 E General Stewart Way
Hinesville, GA 31313
Phone (912) 355-4557

125 Memorial Dr
Ste B
Jesup, GA 31545

320 Peachtree St
Jesup, GA 31545
Phone 8888180563300

370 Peachtree St
Jesup, GA 31545
Phone (912) 348-9495

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

930 S 1st St
Jesup, GA 31545
Phone (912) 385-2702

131 Silverwood Ct
Ste 100
Rincon, GA 31326
Phone (912) 826-3927

Interoperability endpoints

  • Direct secure messaging: beth.lewis.1@23844.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDDICA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1205457264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980484",
            "telephone_number": "912-424-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450210",
            "telephone_number": "912-530-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN203961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.