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MR. JACOB DWAYNE LEWIS
NPI 1124874607
Non-emergency Medical Transport (VAN) in Riverdale, GA

Active since April 25, 2024
8179 TRACE CT, RIVERDALE, GA 30274(470) 634-2692 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Mr. Jacob Dwayne Lewis NPPES

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

MR. JACOB DWAYNE LEWIS (NPI 1124874607) is an individual non-emergency medical transport (van) provider in Riverdale, Georgia and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1124874607
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameMR. JACOB DWAYNE LEWIS
Location Address8179 TRACE CTRiverdale, GA 30274-4318
Mailing Address1201 W Peachtree St Nw Ste 2625Atlanta, GA 30309-3499 · (470) 634-2692 · Fax (888) 816-8882
Phone(470) 634-2692
Sole ProprietorYes
Enumeration DateApril 25, 2024
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1124874607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
8179 TRACE CT, Riverdale, GA 30274
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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 Jacob Lewis's NPI number?

The NPI number for Jacob Lewis is 1124874607. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Jacob Lewis located?

Jacob Lewis practices at 8179 Trace Ct, Riverdale, GA 30274. The listed phone number is (470) 634-2692.

What is Jacob Lewis's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Jacob Lewis was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.