P Praxis·MD
● Active Type 1 · Individual

Phoeby K Lewis, DMD

Dentist·MacOn, GA· NPI 1154364396 · Enumerated 2006 · 19 years on NPI
Lewis is 1 of 77 dentist providers in MacOn and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2006-06-14
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-05-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1536 Eisenhower Pkwy
MacOn, GA 312063130
📞 4787814333
Mailing address
201 W 8th St, Suite 810
Pueblo, CO 810033038
📞 7165624447

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN011094 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (GA) 559750905A
01 (GA) 81635 UNITED CONC.
01 (GA) 0007529 DORAL
01 (GA) 100678 AVESIS

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in MacOn 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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