| John Gregory Lewis, CRNA | |
|
4370 W Main St, Dothan, AL 36305 | |
| (334) 793-5000 | |
| (334) 615-8419 |
| Full Name | John Gregory Lewis |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 4370 W Main St, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326088667 | NPI | - | NPPES |
| 1772364 | Medicaid | LA | |
| 51526516 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0000136709 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1084336 (Alabama) | Secondary |
| Entity Name | Southern Alabama Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767 |
| Entity Name | Dothan Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368 |
| Mailing Address | Practice Location Address |
|---|---|
| John Gregory Lewis, CRNA Po Box 6907, Dothan, AL 36302 Ph: (334) 793-5000 | John Gregory Lewis, CRNA 4370 W Main St, Dothan, AL 36305 Ph: (334) 793-5000 |
Bethany Makayla Gilman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8111 | |
Erica Shere' Montgomery, PMHNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 256 Honeysuckle Rd Ste 3, Dothan, AL 36305 Phone: 334-350-5648 | |
Pamela Galloway, RN, CLC, DOULA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 799 Burkett Rd, Dothan, AL 36303 Phone: 334-798-3323 | |
Mrs. Diana Phelps Golson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 134 Prevatt Rd, Dothan, AL 36301 Phone: 334-794-0731 | |
Pamela Rose Wilder, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 | |
Mrs. Robin Gay Quire, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 134 Prevatt Rd, Dothan, AL 36301 Phone: 334-794-0731 | |
Mr. Jason Lee Cox, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St Ste 21, Dothan, AL 36305 Phone: 334-699-7900 |