Individual provider Active NPI

Brandon Lew

  • Rheumatology Physician
  • Watkinsville, GA
National Provider Identifier
1740864750
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
113429 Issued in GA
Practice address
1715 Resurgence Dr Ste 201
Watkinsville, GA 30677-7321
Phone
(706) 410-9270
NPI assigned
May 6, 2021
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210731000152 SC Order and Referring Only - RheumatologyPractitioner - Internal MedicinePractitioner - 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

OrganizationSpecialtyStatusNew patients
Southeastern Rheumatology Alliance Rheumatology CurrentSince Aug 1, 2026 Accepting new patients
Greenville Health System PastSince May 1, 2021 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.

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

Verify at the official NPI Registry.