CANDACE LEWIS (NPI# 1912319781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912319781 |
| Entity Type | Individual |
| Full Name | CANDACE LEWIS |
| Credential | PA-C |
| Practice Address |
3334 Highway 155 Locust Grove GA 30248-3513 |
| Mailing Address |
1058 Bear Creek Blvd Hampton GA 30228-1849 |
| Practice Telephone | 7703057929 |
| Practice Fax Number | 7703057969 |
| Mailing Telephone | 7707070808 |
| Mailing Fax Number | 7707071580 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 7062 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
007062 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003214384A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205391141 | Candace Lewis | Home Health Aide | 8663 Desoto Dr, Cincinnati, OH 45231-4407 | 2019-02-05 |
| 1376870071 | Candace Lewis | Pharmacist | 6431 Tranquilo, Apt 2023, Irving, TX 75039-3151 | 2009-11-17 |
| 1851998199 | Candace Nicole Lewis | Counselor | 3838 Nw 36th St Ste 200, Oklahoma City, OK 73112-2916 | 2020-10-08 |
| 1235756545 | Candace Lewis | Adult Companion | 5250 S Rainbow Blvd Unit 1156, Las Vegas, NV 89118-0630 | 2020-07-02 |
| 1952787426 | Candace Lewis | Pharmacist | 1200 S Main St, Roswell, NM 88203-5547 | 2015-08-06 |
| 1487039244 | Candace Lewis | Case Manager/Care Coordinator | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2015-07-22 |
| 1134329642 | Candace Lewis | Case Manager/Care Coordinator | 211 Blanchard Avenue, Mtn. View, AR 72560 | 2007-07-23 |
| Street Address |
3334 HIGHWAY 155 |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265567796 | Jameson Andrew Estes | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2007-02-23 |
| 1306321476 | Better Health Greater Life LLC | Obstetrics & Gynecology | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2018-09-25 |
| 1982052130 | Rebekah Ann Steverson | Pediatrics | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2016-05-27 |
| 1265744759 | Jean Robert Ferdinand | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2010-07-13 |
| 1912146556 | Just for You Women's Healthcare, Inc | Obstetrics & Gynecology | 3334 Highway 155, A, Locust Grove, GA 30248-3513 | 2009-02-04 |
| 1063690964 | Deborah Prather | Nurse Practitioner | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985041 | David Farmer | Physician Assistant | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on CANDACE LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.