Active NPI
Colette E Lee-Lewis, MD
- Nephrology Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 055783
- Practice address
- 3025 Shrine Rd
Ste 270
Brunswick, GA 31520 - Phone
- (912) 262-2723
- Fax
- (877) 244-5666
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 055783 | GA | Primary |
Addresses
Primary practice location
3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Mailing address
3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630423104A | Medicaid | GA | |
| 01035668 | Other | GA | AMERIGROUP |
| P00215034 | Other | GA | RILROAD MEDICARE |
| 52043977 | Other | GA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Hahnemann University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3025 Shrine Rd
Suite 270
Brunswick, GA 31520-4785
Phone (912) 262-2723
Hospital & facility affiliations
- DaVita Brunswick Dialysis
- DaVita Jesup Dialysis
- Centerwell Home Health
- Community Home Care
- Southeast Georgia Health System- Brunswick Campus
- Wayne Memorial Hospital
- Southeast Georgia Health System -- Camden Campus
- Memorial Satilla Health
- Jeff Davis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmed Elsharkawi MD LLC | Nephrology | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Brunswick Urgent Care, LLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| A T Ordinario Jr MD LLC | Nephrology | Past | Accepting new patients |
| Macmed LLC | Past | Accepting new patients | |
| Soliant Health | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
105 E Tollison St
Ste B
Baxley, GA 31513
Phone (912) 367-0102
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
208 Scranton Connector
Ste 117
Brunswick, GA 31525
Phone (912) 264-5961
3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723
475 Gateway Center Blvd
Brunswick, GA 31525
Phone (912) 265-0533
823 S 1st St
Jesup, GA 31545
Phone 9122831359185
234 Kings Bay Rd
Kingsland, GA 31548
2040 Dan Proctor Dr
Ste 200
Saint Marys, GA 31558
Phone (912) 576-6376
Interoperability endpoints
- colette.lee-lewis@685165133824004.direct.elationemr.com
Organizations & group practices 8
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.
-
- Nephrology Physician
- Brunswick, GA
- NPI 1184856494
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Family Nurse Practitioner
- Brunswick, GA
- NPI 1023571411
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- General Practice Physician
- St Simons Island, GA
- NPI 1417062613
-
- Contractor
- Tucker, GA
- NPI 1871710723
-
- Nephrology Physician
- Lake Charles, LA
- NPI 1881870145
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brunswick, GA
- NPI 1104895143
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jesup, GA
- NPI 1285603266
Dialysis facility
-
- Home Health Agency
- Brunswick, GA
- NPI 1619959251
-
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
-
- Home Health Agency
- Jesup, GA
- NPI 1699779405
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
-
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1861695892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 SHRINE RD",
"address_2": "STE 270",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-262-2723",
"fax_number": "877-244-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 SHRINE RD",
"address_2": "STE 270",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "31520",
"telephone_number": "912-262-2723",
"fax_number": "877-244-5666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-LEWIS",
"first_name": "COLETTE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "GA",
"license": "055783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630423104A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01035668",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RILROAD MEDICARE",
"identifier": "P00215034",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "52043977",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.