Lillianne Marie Lewis Debnam, MD, MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

074570 Issued in GA

Practice address

57 Jessamine Ave
Georgetown, SC 29440-5837

Phone

(843) 546-8686

Fax

(843) 546-1353

NPI assigned

Apr 5, 2012

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Lillianne Marie Lewis Former name

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St James Health and Wellness Inc

  dba St James Santee Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1366568594
  Medicare reassignment NPD
• Morehouse Healthcare, Inc.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1801832324

  Pediatrics

  Medicare reassignment NPD
• St James Health and Wellness Inc

  dba St James Santee Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • McClellanville, SC
  • NPI 1588618441
  NPD
• St. James Health and Wellness Inc.

  • Federally Qualified Health Center (FQHC)
  • Georgetown, SC
  • NPI 1962250258
  NPD

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1972869774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JESSAMINE AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294405837",
            "telephone_number": "843-546-8686",
            "fax_number": "843-546-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JESSAMINE AVE",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294405837",
            "telephone_number": "843-546-8686",
            "fax_number": "843-546-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Westview Dr SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101458",
            "country_code": "US",
            "telephone_number": "404-752-1857",
            "fax_number": "404-756-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBNAM",
        "first_name": "LILLIANNE",
        "middle_name": "MARIE LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "86761",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "074570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIANNE",
            "last_name": "LEWIS",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli S Daughtry
• Gerald Allen Davidson, BA, BSN, MSHS, CRNA
• John Michael Davis, PA-C
• Carol Davison, RN, BSN
• Robert Edwin Deane, DMD
• Richard E. Dechamplain, M.D.
• Pamela Jean Dechellis, R.PH
• Diana Dennison
• John Fredric Denton, MD
• George T Deschamps Jr., MD

• Pediatrics Physician in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.