Search › Georgia › 363LF0000X
Jacqueline Lewis, NP
NPI 1093263071 · on the registry since 2016 · sole proprietor
Practice
- Address
- 304 Summit Heights Ct Ste 120
Ellenwood, GA 30294 - Phone
- (404) 552-5128
- Organisation at this address
- Atlanta Surgical
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2732 Candler Rd, Decatur, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
363LA2200X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia