Ka'Nesha Lewis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06212266 Issued in GA

Practice address

100 Piedmont Rd NE
Marietta, GA 30066-3636

Phone

(770) 795-9844

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ka'Nesha Matthews Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifetime Family Medicine,LLCGroup PAC ID 3577646736, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1369/brand/1/csg/1/fhir/r4
• Direct secure messaging: ka.nesha.lewis.1@1369.direct.athenahealth.com

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

• Lifetime Family Medicine,LLC

  • Family Medicine Physician
  • Dallas, GA
  • NPI 1053509216
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conyers, GA
  • NPI 1811333859
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD

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

• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1740993583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663636",
            "telephone_number": "770-795-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIEDMONT RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663636",
            "telephone_number": "770-795-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KA'NESHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F06212266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KA'NESHA",
            "last_name": "MATTHEWS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gwendolyn Lewis
• J'Lynn Jerome Louise Lewis, MD
• Jada Lewis
• Janet D. Lewis, D.C.
• Jeffrey Wayne Lewis, COTA
• Kathleen Marie Lewis, LPC
• Kimberly Ann Lewis, PT
• Lisa M Lewis, PA-C
• Morgan Lewis, RBT
• Nakia Lewis

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.

Verify at the official NPI Registry.