Debra Lewis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002600 Issued in GA

Practice address

3915 Cascade Rd SW Ste 265
Atlanta, GA 30331-8583

Phone

(404) 254-2762

Fax

(678) 831-4486

NPI assigned

Feb 2, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1588802235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 PEYTON CROSSING DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112364",
            "telephone_number": "678-522-6944",
            "fax_number": "678-831-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE 265",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318583",
            "telephone_number": "404-254-2762",
            "fax_number": "678-831-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Margaret Lewis, N.P.
• Courtney Shanay Lewis
• Curtis Lewis
• Curtis Alan Lewis, M.D., MBA, J.D.
• Danielle Ashley Lewis, MS, RD, LD, CNSC
• Devan Lewis
• Donna R. Lewis
• Dontay Rosella Lewis
• Elise Lewis
• Emma Lewis

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.