NPI age
9 years
Enumerated 2016-09-19
● Active
Type 1 · Individual
Jacqueline Lewis, NP
Lewis is 1 of 17 nurse practitioner providers in Ellenwood and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-05-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8826 active nurse practitioner providers in Georgia.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 20% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
304 Summit Heights Ct Ste 120
Ellenwood, GA 302942973
Mailing address
Po Box 740015
Atlanta, GA 303740015
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2732 Candler Rd
Decatur, GA 300341410
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(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...
-
Nurse PractitionerDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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