Richard J. Lewis, D.O., P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

63368 Issued in GA

Legal business name

RICHARD J. LEWIS, D.O., P.C.

Doing business as

Peachtree Obstetrics and Gynecology

Practice address

166 Memorial Dr
Jesup, GA 31545-0101

Phone

(912) 427-2643

Fax

(912) 427-2644

NPI assigned

Nov 10, 2009

Organization subpart

No

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

Authorized official

Name

Richard John Lewis, DO

Title

DO

Phone

(912) 427-2643

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peachtree Obstetrics and Gynecology Doing business as

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1962739086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1113",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315981113",
            "telephone_number": "912-427-2643",
            "fax_number": "912-427-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450101",
            "telephone_number": "912-427-2643",
            "fax_number": "912-427-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. LEWIS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "912-427-2643",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "63368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293211408A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.