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MRS. SIOHBAN NICOLE LEWIS FNP-C
NPI 1114759032
Nurse Practitioner - Family in Conyers, GA

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
1368 WELLBROOK CIR NE STE A, CONYERS, GA 30012(770) 247-3378(770) 274-3489 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Siohban Nicole Lewis Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SIOHBAN NICOLE LEWIS FNP-C (NPI 1114759032) is an individual family provider in Conyers, Georgia, licensed in Georgia (RN254594) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114759032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SIOHBAN NICOLE LEWISCredential: FNP-C
Location Address1368 WELLBROOK CIR NE STE AConyers, GA 30012-3980
Mailing Address1804 Colonial South Dr SwConyers, GA 30094-4232 · (404) 374-3659
Phone(770) 247-3378
Fax(770) 274-3489
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1114759032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN254594
1368 WELLBROOK CIR NE STE A, Conyers, GA 30012
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mrs. Siohban Nicole Lewis Fnp-c 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.

PECOS PAC ID3779079306
PECOS Enrollment IDI20260421004192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Siohban Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlanta Neuro Care PC
Same address
Neurology
1372 WELLBROOK CIR NE
Conyers, GA 30012
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1720536584 (770) 274-3378

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 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Siohban Lewis's NPI number?

The NPI number for Siohban Lewis is 1114759032. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Siohban Lewis located?

Siohban Lewis practices at 1368 Wellbrook Cir NE Ste A, Conyers, GA 30012. The listed phone number is (770) 247-3378.

What is Siohban Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Siohban Lewis enrolled in Medicare?

Yes. Siohban 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 organization bills Medicare for Siohban Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siohban Lewis reassigns Medicare benefits to Atlanta Neuro Care PC (Conyers, GA). The 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 Siohban Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siohban Lewis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Siohban Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Siohban Lewis was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.