Jacqueline Lewis, NP - Medicare Nurse Practitioner in Ellenwood, GA

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Jacqueline Lewis, NP is a medicare enrolled "Nurse Practitioner - Family" in Ellenwood, Georgia. Her current practice location is 304 Summit Heights Ct Ste 120, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 552-5128.

Jacqueline Lewis is licensed to practice in Georgia (license number APRN-NP172074) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093263071.

Contact Information

Jacqueline Lewis, NP
304 Summit Heights Ct Ste 120,
Ellenwood, GA 30294-2973
(404) 552-5128
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Lewis
GenderFemale
SpecialityNurse Practitioner - Family
Location304 Summit Heights Ct Ste 120, Ellenwood, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093263071
  • Provider Enumeration Date: 09/19/2016
  • Last Update Date: 05/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7012281611
  • Enrollment ID: I20170920002832

Medical Identifiers

Medical identifiers for Jacqueline Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093263071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN172074 (Georgia)Secondary
363LF0000XNurse Practitioner - Family APRN-NP172074 (Georgia)Primary
363LA2200XNurse Practitioner - Adult Health APRN-NP172074 (Georgia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Lewis allows following entities to bill medicare on her behalf.
Entity Name24 on Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956251
PECOS PAC ID: 5698688141
Enrollment ID: O20031216000444
Entity NameCogent Healthcare of Georgia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609827823
PECOS PAC ID: 2961483607
Enrollment ID: O20040527000856
Entity NameEmory Specialty Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameCovenant Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194235853
PECOS PAC ID: 4082969241
Enrollment ID: O20180802003977
Entity NameTrue North Health Navigation LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578047536
PECOS PAC ID: 5294960696
Enrollment ID: O20191011002051
Entity NameOak Street Health of Georgia PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588258024
PECOS PAC ID: 0345658647
Enrollment ID: O20210427001330
Entity NameNurse Practitioner Now Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649728486
PECOS PAC ID: 1052803426
Enrollment ID: O20251124000278

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Lewis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Lewis, NP
Po Box 740015,
Atlanta, GA 30374-0015

Ph: (312) 773-9730		Jacqueline Lewis, NP
304 Summit Heights Ct Ste 120,
Ellenwood, GA 30294-2973

Ph: (404) 552-5128

Reviews and Comments


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Rose Senge Kombe, FNP-C
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Shalundrah Mcintire,
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Phone: 770-507-7950    Fax: 716-710-8082
Mrs. Terrilyn D Lemons, APRNP
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Practice Location: 4018 Park Place Cir, Ellenwood, GA 30294
Phone: 404-212-1024    Fax: 404-212-1024

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.