NPIMap

Organization Active NPI

J C Lewis Primary Health Care Center Inc

  • Federally Qualified Health Center (FQHC)
  • Savannah, GA
National Provider Identifier
1780037614
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
J C LEWIS PRIMARY HEALTH CARE CENTER INC
Practice address
2414 Bull St
Savannah, GA 31401-9113
Phone
(912) 495-8887
Fax
(912) 495-8881
NPI assigned
Jul 15, 2016
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
J C LEWIS PRIMARY HEALTH CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Gwendolyn Lowe
Title
Chief Financial Officer
Phone
(912) 721-6705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

2414 Bull St
Savannah, GA 31401-9113

Mailing address

PO Box 13577
Savannah, GA 31416-0577
Phone (912) 495-8887

Other identifiers 3

IdentifierTypeStateIssuer
003122855AMedicaidGA
111979OtherGAMEDICARE PART A
202G701304OtherGAMEDICARE PART B

National Provider Directory

National Provider Directory
Tax ID family
JC Lewis Primary Healthcar6 organizations share this tax ID, including this one
Part of
JC Lewis Primary Healthcar

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Fahm St
Savannah, GA 31401
Phone (912) 495-8887

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1780037614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13577",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160577",
            "telephone_number": "912-495-8887",
            "fax_number": "912-495-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 BULL ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314019113",
            "telephone_number": "912-495-8887",
            "fax_number": "912-495-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J C LEWIS PRIMARY HEALTH CARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J C LEWIS PRIMARY HEALTH CARE CENTER",
        "enumeration_date": "2016-07-15",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "912-721-6705"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122855A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "111979",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "202G701304",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.