BRANDI LEWIS M.D.
NPI 1003010976
Pediatrics in Kennesaw, GA

NPI Status: Active since June 13, 2007

Contact Information

1180 ERNEST W BARRETT PKWY NW STE 102B
KENNESAW, GA
ZIP 30144
Phone: (678) 354-2273

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About BRANDI LEWIS

Brandi Lewis is a pediatrician established in Kennesaw, Georgia and her medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1003010976 assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number 76750 (GA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1003010976
Provider Name
BRANDI LEWIS M.D.
Other Name
BRANDI ALEXANDER
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1180 ERNEST W BARRETT PKWY NW STE 102B KENNESAW, GA 30144
Location Phone
(678) 354-2273
Mailing Address
1180 ERNEST W BARRETT PKWY NW STE 102B KENNESAW, GA 30144
Mailing Phone
(678) 354-2273
Is Sole Proprietor?
No
Enumeration Date
06-13-2007
Last Update Date
09-26-2019
Code Navigator

A pediatrician like Brandi Lewis is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
76750
License State
GA
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Location Map

Secondary Locations

  • 416 E Washington Ave
    Jonesboro, AR 72401
    (870) 333-5476
  • 3101 Burnet Ave
    Cincinnati, OH 45229
    (513) 357-7289

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

35.094508 (OH)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

E-10688 (AR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Alliant Health Plans

    • SoloCare Bronze No Referral HMO Chiro HDHP 7050 - HMO
    • SoloCare Bronze No Referral HMO HDHP 7050 - HMO
    • SoloCare Bronze PPO Chiro HDHP 7050 - PPO
    • SoloCare Bronze PPO HDHP 7050 - PPO
    • SoloCare Catastrophic No Referral HMO - HMO
  • Ambetter from Absolute Total Care

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • CareSource

    • CareSource Marketplace Bronze First - HMO
    • CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Core Gold - HMO
    • CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
    • CareSource Marketplace Diabetes Gold - HMO
  • Cigna HealthCare of Georgia, Inc

    • Connect Bronze 0 Indiv Med Deductible - HMO
    • Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care - HMO
    • Connect Bronze 6500 Indiv Med Deductible - HMO
    • Connect Bronze 8500 Indiv Med Deductible - HMO
    • Connect Bronze CMS Standard - HMO
  • Oscar Health Plan of Georgia

    • Bronze Classic 4700 - HMO
    • Bronze Classic PCP Saver Plus - HMO
    • Bronze Classic Standard - HMO
    • Bronze Elite + PCP Saver Plus - HMO
    • Bronze Simple 2 - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
221871001MEDICAID (05)AR 

PECOS Enrollment and Medicare Participation Status

Brandi Lewis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 30144 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.51
  • Minimum New Patient Price $58.88
  • Maximum New Patient Price $178.51
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.72
  • Maximum New Patient Copayment $44.62

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.48
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $145.86
  • Average Established Patient Copayment $26.12
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $36.46

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010976
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003010914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 9 + 1 + 4 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003010976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003010976, enumerated in the NPI registry as an "individual" on June 13, 2007

The provider is located at 1180 Ernest W Barrett Pkwy Nw Ste 102b Kennesaw, Ga 30144 and the phone number is (678) 354-2273

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Alliant Health Plans, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.51 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $104.48 and an average copayment of 26.12. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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