DORNEL J LEWIS NURSE PRACTITIONER
NPI 1861462624
Nurse Practitioner in Ellenwood, GA

Q: What is Dornel Lewis's NPI number?

The NPI number for Dornel Lewis is 1861462624. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Dornel Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dornel Lewis was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 25, 2006PECOS Enrolled

2808 E ATLANTA RD, SUITE 344, ELLENWOOD, GA 30294(404) 434-0401 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2025, Mar 21, 2025, Jul 1, 2021 and 1 more (4 updates tracked since 2019).

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About Dornel J Lewis Nurse Practitioner NPPES

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

DORNEL J LEWIS NURSE PRACTITIONER (NPI 1861462624) is an individual nurse practitioner in Ellenwood, Georgia, licensed in Georgia (RN248615) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861462624

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDORNEL J LEWISCredential: NURSE PRACTITIONER

Location Address2808 E ATLANTA RD, SUITE 344Ellenwood, GA 30294-2780

Mailing Address304 Summit Heights CtEllenwood, GA 30294-2973 · (404) 254-8250

Phone(404) 434-0401

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 25, 2006

Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1861462624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN248615

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN248615 (GA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN248615 (GA)

2808 E ATLANTA RD, Ellenwood, GA 30294

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dornel J Lewis Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365915121

PECOS Enrollment IDI20260623003461

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.

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.

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 Dornel Lewis's NPI number?

The NPI number for Dornel Lewis is 1861462624. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Dornel Lewis located?

Dornel Lewis practices at 2808 E Atlanta Rd Suite 344, Ellenwood, GA 30294. The listed phone number is (404) 434-0401.

What is Dornel Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dornel Lewis enrolled in Medicare?

Yes. Dornel Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dornel Lewis was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.