Individual provider Active NPI

Claudea Antonette Lewis-Comrie

  • Family Nurse Practitioner
  • Ellenwood, GA
National Provider Identifier
1437664463
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189772 Issued in GA
Practice address
211 Fairview Rd
Ellenwood, GA 30294-2721
Phone
(678) 289-6747
Fax
(678) 289-6750
NPI assigned
Dec 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 189772 GA
Family Nurse Practitioner 363LF0000X RN189772 GA Primary

Addresses

Primary practice location

211 Fairview Rd
Ellenwood, GA 30294-2721

Mailing address

211 Fairview Rd
Ellenwood, GA 30294-2721
Phone (678) 289-6747

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611003000 GA Practitioner - Nurse Practitioner 5890040083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Four Corners Primary Care Centers, Inc.Group PAC ID 1951497494, 8 clinicians

Practice addresses (Care Compare)

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900

5300 Oakbrook Pkwy
Suite 130
Norcross, GA 30093-0002

5300 Oakbrook Pkwy
Suite 130
Norcross, GA 30093-2261
Phone (770) 806-2928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
189772GAMDFamily Medicine Physician
RN189772GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Jun 30, 2025 Accepting new patients
Four Corners Primary Care Centers Inc CurrentSince Oct 12, 2019 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Jul 10, 2018 Accepting new patients
Four Corners Primary Care Centers, Inc. CurrentSince Oct 12, 2019 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Family Medicine Past Accepting new patients
Four Corners Primary Care Centers, Inc. Past Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1220 Caroline St NE
Ste A230
Atlanta, GA 30307
Phone (678) 710-3980

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

115 Towne Center Pkwy
Ste 113
Hoschton, GA 30548
Phone (706) 658-2452

175 Gwinnett Dr
Ste 213
Lawrenceville, GA 30046
Phone (678) 377-3745

5300 Oakbrook Pkwy
Ste 130
Norcross, GA 30093
Phone (770) 279-3176

Interoperability endpoints

  • Direct secure messaging: clewiscomrie1115594@direct.emory.org

Organizations & group practices 8

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1437664463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942721",
            "telephone_number": "678-289-6747",
            "fax_number": "678-289-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942721",
            "telephone_number": "678-289-6747",
            "fax_number": "678-289-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-COMRIE",
        "first_name": "CLAUDEA",
        "middle_name": "ANTONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "189772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

Verify at the official NPI Registry.