Ellen Lewis, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN116778 Issued in GA

Practice address

367 Athens Hwy
Ste 1050
Loganville, GA 30052-2204

Phone

(770) 554-2999

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

49.38 of 100Reported as group

Quality

4.35

Promoting interoperability

0

Improvement activities

40

Cost

76.92

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Carenow Services, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
  • NPI 1770713117
  Medicare reassignment NPD
• J & S Healthcare Associates, P.C.

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1174533921
  NPD (past)
• Psychiatric Consultative Services, L.L.C.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Atlanta, GA
  • NPI 1588727978
  NPD (past)
• Vision Medical Consulting, P.C.

  • Family Medicine Physician
  • Tucker, GA
  • NPI 1073562922
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1992979793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 RUNNYMEDE CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473300",
            "telephone_number": "770-982-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY",
            "address_2": "STE 1050",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522204",
            "telephone_number": "770-554-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN116778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Le, PHARM.D
• Amanda Frances Lee, AGNP
• Walter L Leeks III, DMD
• Bianca Leon
• Brittney Nicole Lewis, NCC
• Tilina Lewis, CNA, PCT
• Life Enrichment and Wellness Services
• Jacqueline Lee Light, LDO
• Avadawn Lindsay, PHD, LPC, CPCS
• Maria Renee Lindsey, SLP

• Gerontology Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.