NPIMap

Individual provider Active NPI

Brian Neil Lewis, M.D.

  • Family Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1629307277
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63487 Issued in GA
Practice address
290 Country Club Dr
Suite 220
Stockbridge, GA 30281-9069
Phone
(678) 284-6300
Fax
(678) 284-6326
NPI assigned
Dec 10, 2009
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63487 GA Primary

Addresses

Primary practice location

290 Country Club Dr
Suite 220
Stockbridge, GA 30281-9069

Mailing address

3345 Highway 34 E
Suite 101
Sharpsburg, GA 30277-3563
Phone (770) 502-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000648 GA Practitioner - Family Practice 1658403126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63487GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Dorminy Kids Health CurrentSince Apr 1, 2010 Accepting new patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Apr 1, 2010 Accepting new patients
The Doctor's Office, LLC Family Medicine Past Accepting new patients
The Doctor's Office, LLC Family Medicine Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

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

3000 Shakerag Hl
Peachtree Cty, GA 30269
Phone (478) 994-0437

3345 Highway 34 E
Sharpsburg, GA 30277
Phone (770) 502-8005

3345 Highway 34 E
#101
Sharpsburg, GA 30277
Phone (770) 502-8005

290 Country Club Dr
Ste 220
Stockbridge, GA 30281
Phone (678) 284-6300

Interoperability endpoints

  • Direct secure messaging: blewis20150@direct.emory.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1629307277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 HIGHWAY 34 E",
            "address_2": "SUITE 101",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773563",
            "telephone_number": "770-502-8005",
            "fax_number": "770-502-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR",
            "address_2": "SUITE 220",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819069",
            "telephone_number": "678-284-6300",
            "fax_number": "678-284-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRIAN",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "63487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.