Active NPI
Brandon Lew
- Rheumatology Physician
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 113429
- Practice address
- 1715 Resurgence Dr Ste 201
Watkinsville, GA 30677-7321 - Phone
- (706) 410-9270
- NPI assigned
- May 6, 2021
- Last updated
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Rheumatology Physician | 207RR0500X | 113429 | GA | Primary |
Addresses
Primary practice location
1715 Resurgence Dr Ste 201
Watkinsville, GA 30677-7321
Mailing address
700 S Enota Dr NE
Gainesville, GA 30501-2403
Other practice location 1
701 Grove Road
5th Floor Support Tower
Greenville, SC 29605
Phone (864) 455-7882
Other practice location 2
700 S Enota Dr NE
Gainesville, GA 30501-2403
Phone (770) 531-3711
Other practice location 3
169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone (843) 792-3484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210731000152 | SC | Order and Referring Only - Rheumatology | 4284037078 |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 S Enota Dr NE
Gainesville, GA 30501-2403
8390 Champions Gate Blvd
Suite 220
Champions Gate, FL 33896-8312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Rheumatology Alliance | Rheumatology | Current | Accepting new patients |
| Greenville Health System | Past | Accepting new patients |
Locations
700 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-4084
1715 Resurgence Dr
Ste 201
Watkinsville, GA 30677
Phone (706) 410-9270
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Gainesville, GA
- NPI 1114795663
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1740864750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S ENOTA DR NE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305012403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 RESURGENCE DR STE 201",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777321",
"telephone_number": "706-410-9270"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Road",
"address_2": "5th Floor Support Tower",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "29605",
"country_code": "US",
"telephone_number": "864-455-7882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Enota Dr NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305012403",
"country_code": "US",
"telephone_number": "770-531-3711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Ashley Ave Rm 202",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEW",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-06",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "113429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.