Henry J. Lewis, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

049052 Issued in GA

Legal business name

HENRY J. LEWIS, MD PC

Practice address

5606 Captains CT
Gainesville, GA 30504-8197

Phone

(770) 532-0666

Fax

(770) 532-0666

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry J Lewis III, MD

Title

President

Phone

(770) 532-0666

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1326237355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 CAPTAINS CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305048197",
            "telephone_number": "770-532-0666",
            "fax_number": "770-532-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 CAPTAINS CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305048197",
            "telephone_number": "770-532-0666",
            "fax_number": "770-532-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY J. LEWIS, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-532-0666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "049052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "08BBRBW",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE PIN",
            "identifier": "DC0733",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000875531B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Everett Hemphill, PA-C
• Sarah Hemzawi, DO
• Hawa Henderson, DO
• Meredith Rebekah Henley, PA-C
• Henry G. Goble, D.D.S., P.C.
• Glen A Henry, M.D., F.A.C.C.
• Jevaughn Henry, DO
• Payton Henry, RBT
• Christopher Henson
• Daniel Mark Henson, M.D.

• Primary Care Clinic/Center in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.