P Praxis·MD
● Active Type 1 · Individual

MR. Kevin J Lewis, RT

Radiologic Technologist·Ellenwood, GA· NPI 1104193606 · Enumerated 2011 · 14 years on NPI
Lewis is 1 of 2 radiologic technologist providers in Ellenwood and 1 of 35 in Georgia.
NPI age
14 years
Enumerated 2011-11-28
Primary specialty
Radiologic Technologist
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2011-11-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 35 active radiologic technologist providers in Georgia.

NPI age
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 11% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Practice location
5434 Emily Cir
Ellenwood, GA 302944326
📞 4047848792fax 6784223857
Mailing address
Po Box 887
Rex, GA 302730887

Specialties

  • Radiologic Technologist Primary
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    taxonomy 247100000X
  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
    A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in...
    taxonomy 335V00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new radiologic technologist provider has been added in Ellenwood in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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