Active NPI
Renee Green Lewis, NP
- Family Nurse Practitioner
- Savannah, GA
National Provider Identifier
1598377319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP228608
- Practice address
- 1326 Eisenhower Dr BLDG 1
Savannah, GA 31406-3928 - Phone
- (912) 691-4100
- Fax
- (912) 691-4289
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NP228608 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Dr BLDG 1
Savannah, GA 31406-3928
Mailing address
9 Bluelake Blvd
Pooler, GA 31322-9617
Phone (912) 220-6658
Other names 1
- Renee Shawnta Green
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 |
|---|---|---|---|---|
| I20221130000880 | GA | Practitioner - Nurse Practitioner | 2567830201 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9 Bluelake Blvd
Pooler, GA 31322-9617
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP228608 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1598377319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BLUELAKE BLVD",
"city": "POOLER",
"state": "GA",
"postal_code": "313229617",
"telephone_number": "912-220-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR BLDG 1",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4100",
"fax_number": "912-691-4289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RENEE",
"middle_name": "GREEN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP228608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "GREEN",
"middle_name": "SHAWNTA",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.