Active NPI
Claudea Antonette Lewis-Comrie
- Family Nurse Practitioner
- Ellenwood, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN189772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCFour Corners Primary Care Centers, Inc.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 189772 | GA | MD | Family Medicine Physician |
| RN189772 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Family Medicine | Current | Accepting new patients |
| Four Corners Primary Care Centers Inc | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Four Corners Primary Care Centers, Inc. | Current | 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
- 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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Family Medicine, GA
-
- Federally Qualified Health Center (FQHC)
- Norcross, GA
- NPI 1265624548
GA
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
Family Medicine, GA
-
- Federally Qualified Health Center (FQHC)
- Lawrenceville, GA
- NPI 1285325282
-
- Federally Qualified Health Center (FQHC)
- Lawrenceville, GA
- NPI 1356682959
-
- Federally Qualified Health Center (FQHC)
- Hoschton, GA
- NPI 1548622285
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.