NPI age
18 years
Enumerated 2007-06-13
● Active
Type 1 · Individual
Brandi Lewis, M.D.
Lewis is 1 of 37 pediatrics providers in Kennesaw and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, OH, AR
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
1180 Ernest W Barrett Pkwy Nw Ste 102b
Kennesaw, GA 30144
Mailing address
1180 Ernest W Barrett Pkwy Nw Ste 102b
Kennesaw, GA 301444534
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
416 E Washington Ave
Jonesboro, AR 724013108
Location 3
3101 Burnet Ave
Cincinnati, OH 452293014
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 221871001 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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