Individual provider

BRANDI LEWIS, M.D.

CMS NPPES lists BRANDI LEWIS as an individual provider record with NPI 1003010976. The current record reports a primary practice location in KENNESAW, GA and primary taxonomy code 208000000X.

NPI 1003010976Record type Type 1Primary taxonomy 208000000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1180 ERNEST W BARRETT PKWY NW STE 102BKENNESAW, GA 30144
  2. Additional practice location
    416 E Washington AveJonesboro, AR 724013108
  3. Additional practice location
    3101 Burnet AveCincinnati, OH 452293014

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 208000000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
June 13, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.