Shannon Lewis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR008998 Issued in GA

Practice address

3460 Summit Ridge Pkwy Ste 103
Duluth, GA 30096-1623

Phone

(770) 813-0087

Fax

(770) 813-9006

NPI assigned

Jun 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Complete Healthcare Medical Center

  • Specialist
  • Duluth, GA
  • NPI 1356719843
  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1225399413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2229",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240978",
            "telephone_number": "770-813-0087",
            "fax_number": "770-813-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 SUMMIT RIDGE PKWY STE 103",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961623",
            "telephone_number": "770-813-0087",
            "fax_number": "770-813-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANNON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER FROM COMPLETE HEALTHCARE MEDICAL CENTER",
            "identifier": "582521811",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen I. Levin, OD
• Rachel Susan Levy, PT
• Damar Antwan Lewis, AGACNP-BC
• Dominique Nicole Lewis
• Hunter Landon Lewis, DPT, PT
• Steven Bradley Lewis, RPH
• Liberty Home Health, LLC
• Liberty Home Health, LLC Dba Carelab Georgia
• Lifecare Partners, Inc.
• Lifeline Primary Care

• Chiropractor in Duluth, GA
• Providers in Duluth, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.