Active NPI
Arlene Annetta Lewis, M.D.
- Adult Medicine Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 043236
- Practice address
- 1383 Manchester Dr NE Ste B
Conyers, GA 30012 - Phone
- (770) 981-2443
- Fax
- (770) 981-2478
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 043236 | GA | Primary |
Addresses
Primary practice location
1383 Manchester Dr NE Ste B
Conyers, GA 30012
Mailing address
1383 Manchester Dr NE Ste B
Conyers, GA 30012-3882
Phone (770) 981-2443
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York Downstate Medical Center, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1383 Manchester Dr NE
Conyers, GA 30012-3882
Phone (770) 981-2443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043236 | GA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care of Hillandale, P.C. | Current | Accepting new patients |
Locations
1383 Manchester Dr NE
#B
Conyers, GA 30012
Phone (770) 438-4388
1383 Manchester Dr NE
Conyers, GA 30012
Phone (770) 981-2443
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lithonia, GA
- NPI 1043316391
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dekalb Medical Center at Hillandale
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1245241975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 MANCHESTER DR NE STE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123882",
"telephone_number": "770-981-2443",
"fax_number": "770-981-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 MANCHESTER DR NE STE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "30012",
"telephone_number": "770-981-2443",
"fax_number": "770-981-2478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ARLENE",
"middle_name": "ANNETTA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "GA",
"license": "043236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.