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FULTON D LEWIS III DMD
NPI 1558479253
Dentist - Oral and Maxillofacial Surgery in Conyers, GA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
1463 KLONDIKE ROAD, SUITE C, CONYERS, GA 30094(770) 483-9692(678) 487-1004 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fulton D Lewis Iii Dmd NPPES

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

FULTON D LEWIS III DMD (NPI 1558479253) is an individual oral and maxillofacial surgery provider in Conyers, Georgia, licensed in Georgia (DN012694) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Medical Univ Of South Carolina Col Of Dental Med (1992).

NPPES Registry Identity

NPI1558479253
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameFULTON D LEWIS IIICredential: DMD
Location Address1463 KLONDIKE ROAD, SUITE CConyers, GA 30094
Mailing Address1463 Klondike Road, Suite CConyers, GA 30094 · (770) 483-9692 · Fax (678) 487-1004
Phone(770) 483-9692
Fax(678) 487-1004
Sole ProprietorNo
Medical School CMSMedical Univ Of South Carolina Col Of Dental MedGraduated 1992
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558479253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in GA · DN012694✔ Licensed in SC · 3173
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1463 KLONDIKE ROAD, Conyers, GA 30094
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINU96000
Medicare ID-Type Unspecified1708GA · Gp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fulton D Lewis Iii Dmd 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 ID8426195595
PECOS Enrollment IDI20110203000451
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30094 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN D POLLACK DDS
Dentist (Oral and Maxillofacial Surgery)
1463 KLONDIKE ROAD, SUITE C
CONYERS, GA 30094
Rockdale County (770) 483-9692
ROBERT E GOING JR. DDS
Dentist (Oral and Maxillofacial Surgery)
1463 KLONDIKE ROAD, SUITE C
CONYERS, GA 30094
Rockdale County (770) 483-9692
BRETT C GRAY DMD MD
Dentist (Oral and Maxillofacial Surgery)
1463 KLONDIKE ROAD, SUITE C
CONYERS, GA 30094
Rockdale County (770) 483-9692
STEVEN P KING DDS
Dentist (Oral and Maxillofacial Surgery)
1463 KLONDIKE ROAD, SUITE C
CONYERS, GA 30094
Rockdale County (770) 483-9692

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 Fulton Lewis's NPI number?

The NPI number for Fulton Lewis is 1558479253. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Fulton Lewis located?

Fulton Lewis practices at 1463 Klondike Road Suite C, Conyers, GA 30094. The listed phone number is (770) 483-9692.

What is Fulton Lewis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Fulton Lewis enrolled in Medicare?

Yes. Fulton 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.

What insurance does Fulton Lewis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Fulton 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.

Is Fulton Lewis affiliated with any hospitals?

According to CMS data, Fulton Lewis is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Fulton Lewis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.