| Yanique Latoya Lewis, FNP-C | |
|
1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 | |
| (770) 706-7260 | |
| (678) 413-1818 |
| Full Name | Yanique Latoya Lewis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1498 Klondike Rd Sw Ste 106, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003467275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN248450 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nsh Cancer Institute Professional Services A, Llc | 1557514247 | 41 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Nsh Cancer Institute Professional Services A, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215288378 PECOS PAC ID: 1557514247 Enrollment ID: O20130107000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Yanique Latoya Lewis, FNP-C 1467 John Robert Dr Ste B, Morrow, GA 30260-1770 Ph: (770) 293-8050 | Yanique Latoya Lewis, FNP-C 1498 Klondike Rd Sw Ste 106, Conyers, GA 30094-5169 Ph: (770) 706-7260 |
Turquoise Allen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094 Phone: 770-285-6699 Fax: 770-285-6510 | |
Assumpta Ogbedeagu, MS-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013 Phone: 303-214-8017 | |
Jan Delroy Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3754 | |
Meetali Crowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 678-369-6934 | |
Ms. Judith T Chabot, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012 Phone: 678-413-2026 Fax: 678-413-2030 | |
Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662 |