James Myles Lewis Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8615 Issued in GA

Practice address

504 Gordon Ave
Thomasville, GA 31792-6646

Phone

(229) 228-0064

Fax

(229) 228-5575

NPI assigned

Mar 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366568198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-228-0064",
            "fax_number": "229-228-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-228-0064",
            "fax_number": "229-228-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAMES",
        "middle_name": "MYLES",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "8615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee, MD
• Legacy Healthcare Services Inc
• Catherine Lehman, OT
• Salli Chism Lehman, M.D.
• Joseph B. Leroy, M.D.
• Regina N Lewis, CNP
• LHCG Ccxxii, LLC
• Life Care Centers of America, Inc. (Camellia Gardens of Life Care)
• Ronald Lindquist, P.A.
• Jason Townley Little, PA-C

• General Practice Dentistry in Thomasville, GA
• Providers in Thomasville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.