LARRY GLEN LEWIS


Address: 993 D Johnson Ferry Rd, Ste 440, Atlanta, GA 30342
Phone: 4042570799

LARRY GLEN LEWIS (NPI# 1699744722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699744722
Entity Type Individual
Full Name LARRY GLEN LEWIS
Credential MD
Practice Address 993 D Johnson Ferry Rd
Ste 440
Atlanta
GA 30342
Practice Telephone 4042570799
Practice Fax Number 4045032280
Mailing Telephone 4042570799
Mailing Fax Number 4045032280
Enumeration Date 2006-03-14
Last Update Date 2012-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
052357 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KAISER 1789 01
CIGNA 5433953006 01
BLUE CHOICE FAC INSURANCE 080685 01
AETNA MC PPO PIN NUMBER 5757428 01
BLUE CHOICE PROVIDER ID 52508068010 01
UNITED HEALTH CARE 1422312 01
AETNA HMO POS 2134940 01
MEDICAID PROVIDER NUMBER 000709497H 01
GA 000981901A 05
MEDICAID REFERENCE PROVID REF000087396 01

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1942365663 Larry Wayne Lewis Counselor 94 E Pages Ln # A, Centerville, UT 84014-2216 2006-12-22
1205892676 Larry Lewis Lodging 9380 Vancouver Rd, Spring Hill, FL 34608-6566 2006-04-25
1538166160 Larry S Lewis Surgery 1414 W Fair Avenue, Suite 230, Marquette, MI 49855-2675 2005-06-28
1245796820 Larry Lewis Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-02-19
1659674901 Larry Lewis Pharmacist 2012 Wards Rd, Lynchburg, VA 24502-5310 2010-12-08
1881762748 Larry Wayne Lewis Registered Nurse 110 E Routt, Pueblo, CO 81004 2006-11-30
1790702272 Larry Wayne Lewis Jr. Physical Therapist 322 Nuway Cir, Lenoir, NC 28645-3656 2006-07-17

Office Location

Street Address 993 D JOHNSON FERRY RD
STE 440
City ATLANTA
State GA
Zip Code 30342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245209378 Dinesh Govind Patel Pediatrics 993 D Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 2006-03-14
1225050750 James Wilson Davis Jr. Specialist 993 D Johnson Ferry Rd, Suite 470, Atlanta, GA 30342-1687 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
Find all providers in zip 30342

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639339336 Nirav Raman Patel Pediatrics 5445 Meridian Marks Rd Ste 490, Atlanta, GA 30342-4794 2008-06-16
1003084377 Seth Benjamin Marcus Pediatrics 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342-4780 2008-02-20
1245345982 Ellen Ferrari Pediatrics 993 D Johnson Ferry Road, Suite 440, Atlanta, GA 30342 2006-08-21
1790744019 Olga Maria Sherrod Pediatrics 993d Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 2006-03-23
1245209378 Dinesh Govind Patel Pediatrics 993 D Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 2006-03-14
1417926544 Jeffrey Alan Blumenthal Pediatrics 993-d Johnson Ferry Rd, Suite 440, Atlanta, GA 30342 2006-03-14
1457329989 The Childrens Center for Digestive Health Care LLC Pediatrics 993d Johnson Ferry Road, Ste 440, Atlanta, GA 30342 2006-03-10
1457790388 Asiya Khan Shakir Pediatrics 5445 Meridian Marks Rd Ste 490, Atlanta, GA 30342-4794 2013-06-25
1316269764 Dellys Mariel Soler Pediatrics 2015 Uppergate Dr Ne, Atlanta, GA 30322-0001 2010-02-25
1598992224 Tatyana Hofmekler Pediatrics 993d Johnson Ferry Rd Ne, Ste 440, Atlanta, GA 30342 2009-06-21
Find all providers in ATLANTA

Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

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.

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