Kyle J. Lewis, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1061 Harmon Ave
Hinesville, GA 31414

Phone

(912) 435-6633

NPI assigned

May 10, 2021

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1407430978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 VINCENT ASTOR DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558339",
            "telephone_number": "443-944-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31414",
            "telephone_number": "912-435-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2966 Vincent Astor Dr",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294558339",
            "country_code": "US",
            "telephone_number": "443-944-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KYLE",
        "middle_name": "J.",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MD",
            "license": "2000028805",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lee
• Legacy Mobile Logistics
• Allison Elizabeth Leip, LMFT
• Jasmine Latia Leonard
• Becca Lewis
• Wendy Elizabeth Lewis, NP
• Michael S Liao, M.D.
• Liberty County Board of Commissioners (Liberty County EMS)
• Liberty County Board of Education
• Liberty County Board of Health (Liberty County Health Department)

• Athletic Trainer in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.