Lewis Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LEWIS MEDICAL SUPPLY LLC

Practice address

108 Katie Dr
Rincon, GA 31326-5708

Phone

(912) 826-4170

Fax

(912) 826-3595

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Russell Lewis

Title

Owner

Phone

(912) 826-4170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1619165263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KATIE DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265708",
            "telephone_number": "912-826-4170",
            "fax_number": "912-826-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KATIE DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265708",
            "telephone_number": "912-826-4170",
            "fax_number": "912-826-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-826-4170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Denise Kuch, PT,DPT
• Slavko Kukucka, M.D.
• Eric Alexander Kure
• Evelyn Latimer
• Lawrence a. Adjei, Apmc
• Katherine Lewis
• Life Improvements LLC
• Erin Marie Lindenmayer
• Michelle Livingston
• Emily Simone' Long, M.ED CCC-SLP

• Durable Medical Equipment & Medical Supplies in Rincon, GA
• Providers in Rincon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.