Individual provider Active NPI

Joycelia Lewis

  • Clinical Social Worker
  • College Park, GA
National Provider Identifier
1255828539
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4827 Old National Hwy # 1216
College Park, GA 30337-6234
Phone
(770) 325-4070
Fax
(404) 908-0340
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4827 Old National Hwy # 1216
College Park, GA 30337-6234

Mailing address

8491 Hospital Dr Ste 301
Douglasville, GA 30134-2412
Phone (770) 325-4070

Other practice location 1

514 W Bankhead Hwy Ste 100
Villa Rica, GA 30180-1737
Phone (678) 941-3868

Other practice location 2

1876 Princeton Ave Ste 200
College Park, GA 30337-3519
Phone (770) 325-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony'S Path Counseling & Wellness LLC Clinical CurrentSince Apr 19, 2020 Accepting new patients
Inmind LLC CurrentSince May 16, 2021 Accepting new patients

Locations

1876 Princeton Ave
Ste 200
College Park, GA 30337
Phone (770) 325-4070

8491 Hospital Dr
Douglasville, GA 30134
Phone (678) 922-2432

514 W Bankhead Hwy
Ste 100
Villa Rica, GA 30180
Phone (678) 941-3868

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1255828539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 HOSPITAL DR STE 301",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342412",
            "telephone_number": "770-325-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 OLD NATIONAL HWY # 1216",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376234",
            "telephone_number": "770-325-4070",
            "fax_number": "404-908-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 W Bankhead Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801737",
            "country_code": "US",
            "telephone_number": "678-941-3868",
            "fax_number": "678-941-3217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1876 Princeton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303373519",
            "country_code": "US",
            "telephone_number": "770-325-4070",
            "fax_number": "404-908-0340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOYCELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.