HEATHER LEWIS (NPI# 1235574906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235574906 |
| Entity Type | Individual |
| Full Name | HEATHER LEWIS |
| Credential | PA-C |
| Practice Address |
1005 Boulder Dr Gray GA 31032 |
| Mailing Address |
1005 Boulder Dr Gray GA 31032-6141 |
| Practice Telephone | 4786212100 |
| Practice Fax Number | 4787440481 |
| Mailing Telephone | 4786212100 |
| Mailing Fax Number | 4787440481 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
006787 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Rt Stanley Sr Pl, Lyons, GA 304365623 | 9125269355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639637119 | Heather Marie Lewis | Counselor | 3410 W Fort George Wright Dr Bldg 30, Spokane, WA 99224-5288 | 2019-03-04 |
| 1740716984 | Heather Michelle Lewis | Nurse Practitioner | 35900 Bob Hope Dr Ste 205, Rancho Mirage, CA 92270-1764 | 2017-05-09 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1952600116 | Heather Lewis | Occupational Therapy Assistant | 199 Bridgeport Dr, Half Moon Bay, CA 94019-4236 | 2011-03-26 |
| 1255593851 | Heather Lynn Lewis | Surgery | 2121 E Harmony Rd Unit 330, Fort Collins, CO 80528-3403 | 2008-06-26 |
| 1235314907 | Heather Lewis | Internal Medicine | 222 Cottonwood St N, Oceanside, CA 92058-6641 | 2007-12-31 |
| 1689881682 | Heather L Lewis | Massage Therapist | 847 Madison Ave, Vernonia, OR 97064-1106 | 2007-05-17 |
| 1023643871 | Heather L. Lewis | Counselor | 1550 N Dutton Ave, Santa Rosa, CA 95401-4601 | 2020-03-11 |
| 1285271965 | Heather Lewis | Pharmacist | 3060 N National Rd, Columbus, IN 47201-3236 | 2019-12-02 |
| 1174005474 | Heather Lynn Lewis | Occupational Therapist | 133 Aviation Rd, Queensbury, NY 12804-8206 | 2018-09-04 |
| Street Address |
1005 BOULDER DR |
| City | GRAY |
| State | GA |
| Zip Code | 31032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263064 | Wyatt Kenny Blake | Family Medicine | 1005 Boulder Dr, Gray, GA 31032 | 2005-05-30 |
| 1134781073 | Michael Kelly | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032-6141 | 2019-07-01 |
| 1356807507 | Sarah Rose Purser | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032-6141 | 2019-02-13 |
| 1548760556 | Brianna Carolyn Jo Ramseur | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032-6141 | 2018-02-16 |
| 1932650173 | Shannon Dawn Coffee | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032 | 2016-10-24 |
| 1720475098 | N'kema Cooper | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032 | 2015-04-23 |
| 1740629443 | Betty Lou Yul Riner | Clinical Nurse Specialist | 1005 Boulder Dr, Gray, GA 31032 | 2013-06-17 |
| 1245584788 | Catherine Marie Wilson | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032 | 2012-11-06 |
| 1336492511 | Community Primary Care of Georgia LLC | Family Medicine | 1005 Boulder Dr, Gray, GA 31032-6141 | 2012-10-25 |
| 1538416821 | Shawn Marie Watts | Nurse Practitioner | 1005 Boulder Dr, Gray, GA 31032 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225669120 | True Essential Service, LLC | Home Health | 112 Madison Avenue, Gray, GA 31032 | 2020-01-29 |
| 1740640234 | Tuquester L. Carlisle | Marriage & Family Therapist | 300 West Clinton St., Suite I, Gray, GA 31032 | 2016-02-26 |
| 1821404161 | Linda Norman Greene | Home Health Aide | 3562 Gray Highway, Gray, GA 31032 | 2014-07-08 |
| 1770876781 | Gray Dental Associates, P.C. | Dentist | 242 West Clinton St, Gray, GA 31032 | 2011-05-24 |
| 1245404516 | Louise E Simmons | Nurse's Aide | 426 Liberty Street, Gray, GA 31032 | 2008-04-17 |
| 1396929568 | Albert H Mcgalliard | Pharmacist | 236 West Clinton St, Gray, GA 31032 | 2007-12-24 |
| 1184845067 | Todd F Kelleher | Chiropractor | 4292 Gray Highway, Gray, GA 31032 | 2007-05-01 |
| 1477690014 | S & S Medical Management Services, Inc | Durable Medical Equipment & Medical Supplies | 221 West Clinton Street, Suite F, Gray, GA 31032 | 2007-01-31 |
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1437211067 | River Edge Behavioral Health Center | Community/Behavioral Health | 502 West Clinton Street, Gray, GA 31032 | 2006-12-13 |
| Find all providers in zip 31032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932179603 | Marilyn P Wilson | Physician Assistant | 123 Frontage A Rd, Gray, LA 70359-6301 | 2006-01-25 |
| 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 | ||||
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| 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.