JACQUELINE LEWIS NP
NPI 1093263071
Nurse Practitioner - Family in Ellenwood, GA
About Jacqueline Lewis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE LEWIS NP (NPI 1093263071) is an individual family provider in Ellenwood, Georgia, licensed in Georgia (APRN-NP172074) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Lewis Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Jacqueline Lewis reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
Stone Mountain, GA 30087
- Reassigned Medicare billing, Georgia enrollment
- 57 clinicians in this Medicare group
Atlanta, GA 30328
- Reassigned Medicare billing, Georgia and Virginia enrollments
- Also billed through NPI 1740622133 (Virginia)
- 69 clinicians in this Medicare group
Marietta, GA 30066
- Reassigned Medicare billing, Georgia enrollment
- 45 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30294 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqueline Lewis's NPI number?
The NPI number for Jacqueline Lewis is 1093263071. It was assigned to this individual provider in the NPPES registry on September 19, 2016.
Where is Jacqueline Lewis located?
Jacqueline Lewis practices at 304 Summit Heights Ct Ste 120, Ellenwood, GA 30294. The listed phone number is (404) 552-5128.
What is Jacqueline Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Lewis enrolled in Medicare?
Yes. Jacqueline Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacqueline Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Lewis reassigns Medicare benefits to 7 organizations: Nurse Practitioner Now Associates (Decatur, GA), Oak Street Health Of Georgia PC (Stone Mountain, GA), True North Health Navigation LLC (Atlanta, GA), Covenant Medical Group LLC (Marietta, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Lewis was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqueline Lewis, NP · NPI 1093263071
Family physician in Ellenwood, Georgia. Individual provider, active in the CMS NPPES registry since September 19, 2016.
## Identity
- **NPI:** 1093263071 (Entity type: Individual)
- **Enumerated:** September 19, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP172074 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 304 SUMMIT HEIGHTS CT STE 120, Ellenwood, GA 30294-2973
- **Phone:** (404) 552-5128
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Nurse Practitioner Now Associates (NPI 1649728486, Decatur, GA); Oak Street Health Of Georgia PC (NPI 1588258024, Stone Mountain, GA); True North Health Navigation LLC (NPI 1578047536, Atlanta, GA); Covenant Medical Group LLC (NPI 1194235853, Marietta, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093263071) · Data from the CMS NPPES public registry.